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SCOTUS Upholds Individual Mandate On Federal Health Care Act

Ruling strikes down other portions of Obamacare.

 

ABC News is reporting that the Supreme Court, in a split decision, has upheld the individual mandate that requires the purchase of insurance as a tax.

The Supreme Court has ruled in a 5-4 decision to uphold the Affordable Care Act, declaring its individual mandate to be constitutional.

The argument against the constitutionality of the individual mandate had been that it violated states' rights, but proponents cited the Constitution's commerce clause as justification. However the court seems to have found a way around the argument, ruling that the mandate was constitutional anyway under Congress' ability to tax.

In other words, the government can't force you to buy insurance, but Congress can tax you if you don't.

Considered to be the defining domestic policy acheivement for President Barack Obama, the Affordable Care Act—often referred to as "Obamacare"—has been a political lightning rod since it was passed in March 2010 by Democrats along party lines with virtually no Republican support.

Supporters of the law have insisted that it would provide coverage to millions of Americans who could not find or afford coverage before, lower health care costs in the long run and prohibit insurance companies from refusing to cover sick people.

Opponents have insisted that the law is a massive government overreach that will further balloon the nation's deficit without bringing health care costs down and will cost the nation millions of jobs as the new regulations strangle businesses.

Do you agree with the decision? Tell us in the comments.

Stay with Patch today for updates and local reaction.

Related Topics: SCOTUS and Supreme Court

MReed

12:22 pm on Thursday, June 28, 2012

Obama has imposed the biggest tax increase on the middle class with this.

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George Deak

9:14 am on Friday, June 29, 2012

Which tax do you mean? The "penalty" for not buying insurance? If so, that only applies to those who don't buy insurance, surely not the whole middle class, but a tiny fraction of people looking for a free ride in case they get sick.

Please be more specifics and provide reasoned quantities rather than making unfounded blanket statements. In fact, the Affordable Care Act will probably save the middle class money by slowing the unsustainable rise in health care insurance premiums.

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Joe Kane

8:43 am on Saturday, June 30, 2012

George MReed is correct. It is a tax on the middle class because now it is mandated that all people have health insurance. So those that cannot afford it, will not be penalized, but they need to have it provided to them, free of charge. As we all know, nothing in life is free, so the money to pay for their premiums and out of pocket payments will be thrust onto the taxpayers of the United States. Those that are here illegally already have their "free Health Care" picked up by the taxpayers as well Do you need any more facts??

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David Nolta

8:53 am on Saturday, June 30, 2012

Joe--you haven't provided any facts yet. George is right. And we are already paying for the people (by no means only illegals--with which this decision has little or nothing to do) who take advantage. Those people have not increased with this decision--in fact, their numbers should logically decrease as individuals are held accountable to a common standard. The decision is not an invitation to more people to cheat--the cheaters are already out there, and they ALWAYS have been, sad to say. This is an acknowledgement that everybody must share the responsibility AND the (over time) money-saving benefits of being minimally insured for their health.

Chris L.

12:34 pm on Thursday, June 28, 2012

what incentive do people have to go to work now? not the ones that can't...i understand their plight. i'm talking about the same kind of people who abuse EBT cards. now they get healthcare too? Man, this America thing is a lot sweeter a ride than it was 25-30 years ago......

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Julie Ford

12:41 pm on Thursday, June 28, 2012

Of course the SCOTUS upheld it, those in favor are appointees by Obama!!! Obama may be an idiot, but he's not stupid....he knew long ago this would happen. There's 5 more reasons to vote for Romney.
All this does is make the middle class pay more for those that can't pay at all. How will all the illegal immigrants be "taxed" when they refuse to buy it? How will people with little to no income pay for insurance?? Its less money for people to have in their pockets to spend on other things, potentially helping the economy "in the long run". In the long run, this will not help the economy, but I bet the scumbag insurance companies are thrilled!

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George Deak

9:23 am on Friday, June 29, 2012

Of the 5 justices who voted for the decision, only 2 (Sotomayor and Kagan) were appointed by Obama. Roberts, the Chief Justice, who cast the deciding vote, was appointed by George W. Bush. See http://en.wikipedia.org/wiki/List_of_Justices_of_the_Supreme_Court_of_the_United_States

Tony

1:04 pm on Thursday, June 28, 2012

We will be paying billions and billions over the next 20 years, just like when the ADA act was passed.

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George Deak

9:19 am on Friday, June 29, 2012

I'm not sure how to do the math with "billions and billions" but if you do the math, given that there are 1/3 billion people in this country, if everyone chips in $3.33 per year, we have a billion dollars. Your fears are an unreasoned over-reaction resulting from too much FOX news.

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David Nolta

9:43 am on Friday, June 29, 2012

All of your comments, George, are sober and refreshing. And fact-based and credible--thanks for keeping us on track!

Ben Jackson

1:23 pm on Thursday, June 28, 2012

This courtt has ensured that my daughter will never be penalized for the grave crime of having been born with cancer. Insurance companies can no longer deny her care for her medical conditions. She will be able to receve equal and fair access to care.

The entire point of a society is to share strengths and weaknesses. This new, late-20th century "I don't want to pay for other people" is a disgusting breakdown of our culture.

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Clo dene

2:01 pm on Thursday, June 28, 2012

Those that are against this law don't understand its advantages. Many of them already have health care. If they were ever in a position where they needed medical care and didn't have insurance perhaps they would be less strident. All those twenty somethings who cannot find a job or are underemployed can be covered by their parent's policy until they turn 26. You can no longer be refused or have your policy cancelled for getting sick or having a preexisting condition. Insurance companies and their outlets charge too much. That is the next phase people should be looking to correct. Medicare for all would be the best plan but we are a long way from that. But for now - I'll take this law.

David Perry

1:43 pm on Thursday, June 28, 2012

Separating it from the Commerce Clause makes it a Tax. A Tax that Mr. President promised he would NOT impose on the middle class. He did. He broke yet another promise. I will remember this in November.

“During his first presidential campaign, candidate Barack Obama repeatedly pledged not to increase taxes on Americans making under $200,000 annually, or families making $250,000 annually. During a stop in Dover, New Hampshire, President Obama said: ‘I can make a firm pledge…no family making less than $250,000 a year will see any form of tax increase.’ The health care law contains 18 separate tax increases totaling approximately $560 billion over 10 years, according to the initial estimate of the law by the Congressional Budget Office. Several of these taxes are passed directly to consumers and effectively break the President’s pledge.”

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Kim Poness

2:08 pm on Thursday, June 28, 2012

@David - where did you get your quote from?

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Paul Bishop

3:46 pm on Friday, June 29, 2012

Remember he has not taxed the middle class with this, as you want to deceive people into thinking.

This penalty, or tax, or whatever you want to call it, ONLY APPLIES TO THOSE THAT FREELOAD ON THE SYSTEM. This penalty/tax only does ONE thing.. recaptures some of the costs the rest of us pay for the freeloaders.

David Perry

1:47 pm on Thursday, June 28, 2012

For every unfortunate person like your daughter Ben, there are a dozen "gimme" dirt bags who will just sit idle, not participate in society, and hold their hand out. Reform IS NEEDED, but not at the Federal Level, and in this manner. Massachusetts has proven (though I'm not a fan of Romney Care) that states can handle these issues on their own. Furthermore, if the Federal Government were not involved, any legislation passed at the state level would be streamline and would have fewer earmarks (and pages) in the bill. Did you know that your daughters school loans are incorporated in to this bill? Again, it could have been done another way, with less impact on the nation as a whole, instead of being pushed upon us in this manner, by the power hungry, and far too large, Feds..

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David Nolta

5:06 pm on Thursday, June 28, 2012

When you say "dirt bags" are you talking about human beings? Those easily stereotyped drains on your personal pocketbook, who don't actually exist as a group, and who, when you consider more calmly and more closely, are individuals--they just aren't you... Of course it costs money to care for each other. It cost money (and more than money) to free the slaves... But the Constitutional guarantees of life, liberty, and the pursuit of happiness are null and void without at least basic health care--and the right applies to everyone, not just people with great jobs and/or family money. It's for the old and the young and the infirm and those who want to work and can't--can't find work, aren't able to work, etc. And the middle class you stereotype with equal ease is disappearing, and Obama is the only one fighting to stop that from happening. Jeesh, all that pent-up, hysterical indignation about taxes--which are not AGAINST us, but FOR the things we feel are good and necessary, and most people, whatever they feel about Romney's methods in Massachusetts or Obama's methods at the Federal level, simply agree that health care is good and necessary. The more I read the wild Republican rants on the Milford Patch, the less surprising it is to find shows about hoarders so popular...

Kim Poness

2:02 pm on Thursday, June 28, 2012

@Julie - Obama appointed only two of the nine justices. Clinton appointed two, and the remaining five were appointed by Reagan and Bush. One who was in favor, the Chief Justice, is a Bush appointee. Did you even read the opinion to see what they debated before making your party-line accusation? I'm including the link here for your reference.

http://msnbcmedia.msn.com/i/msnbc/Sections/NEWS/scotus_opinion_on_ACA_from_msnbc.com.pdf

I'm curious to know if you were this offended when Romney passed a very similar law in Massachusetts, after which Obama's Affordable Care Act is actually modeled. I'm not saying what I think either way, as I haven't read the opinion yet (and I may call on Kira to help me with the "big words" if she's agreeable!), but I do think it's a little bit comical that in one breath you are railing against Obama while praising the very man who laid the foundation for the Act in the first place. It seems a bit disingenuous and, frankly, hypocritical.

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Theresa

2:05 pm on Thursday, June 28, 2012

@ Ben, nice social justice point/ Dem talking point BUT taxing me to pay for you, and thus burdening my grandchildren and great grandchildren with the future debt, to implement this new federal healthcare ponzi scheme, EXACTLY like the bankrupt Social Security ponzi scheme, of FDR.

What part of 'you'll eventually run out of other people's money' don't you get. There's nothing left to borrow against. Barak Obama looted the till for decades to come.

Obviously, you don't live here in MASSACHUSETTS, with the astronomical healthcare costs of mandated healthcare. WHERE YOUR DAUGHTER IS COVERED. Move along carpetbagger and take Elizabeth Warren with you.

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Ben Jackson

2:36 pm on Thursday, June 28, 2012

Wow. That's brilliant commentary right there.

Execpt, you know, I live in NATICK. Where I have lived for nearly a decade.

So, you drive on public roads, right? Make use of public schools, maybe? I bet you'd like the fire department to show up if your home was on fire, and the police to show up if someone was trying to hurt you or someone you care about (which appears to mostly be, you know, YOU, from your answer).

What's even less sensible about your argument is that by providing care to these individuals through an exchange, we LOWER the tax burden. Both the CBO and the OMB have concluded that this would reduce the deficit - by $143 billion over this decade.

Improving access to preventative care lowers healthcare costs for all. Casting a wide net for inclusion in health premiums lowers premiums for everyone. Insuring everyone virtually eliminates free care, which is the big talking point on the right.

If you were serious about the deficit, you would be supporting this bill and railing against the ridiculous and unaffordbale Bush tax cuts. Instead, you're screaming at a guy on the itnernet.

Well played, ma'am.

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David Nolta

5:08 pm on Thursday, June 28, 2012

And rude and ill-informed screaming it is, as you rightly point out, Ben. Thanks as always for the calm and civil note.

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George Deak

9:36 am on Friday, June 29, 2012

Theresa, do you really want to do away with Social Security? Rolling back the New Deal does seem to be the main point of the Ryan budget. Remember the good old days of the Depression, when we had 25% unemployment? Is that where we want to be?

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David Nolta

10:01 am on Friday, June 29, 2012

This I DO find terrifying--the speed with which so many people in this country have forgotten what the world was like for the WORKING classes of America before The Great Depression of the 1930's, the callousness of the unregulated industrial giants, the lack of basic health services for millions of working people, not to mention the young and the retired. A cautious estimate is that 30-40% of older Americans lived in abject poverty--think about it, that's one or more of your four grandparents! I just finished reading Nathaniel Philbrick's book, Mayflower (great read--I recommend it!), and he, too, talks about how fast humans forget--and are forced to re-learn--basic human principles and the fact that it is not only morally good, but also safer and practical and wise, when we move forward TOGETHER... And I think this decision marks a significant step toward that. And it was a bipartisan decision, too! Happy Day.

Robbin Miller, Licensed Mental Health Counselor and Advocate

2:13 pm on Thursday, June 28, 2012

The rates went up and the middle class people are paying for it. It is better to be poor or working class where you can get healthcare for free or at a subsidy that is affordable. Do you know that Obamacare will increase people on the Medicaid rolls who can't afford health insurance. Guest who will pay for it? it will be us, the middle class.

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Ben Jackson

2:45 pm on Thursday, June 28, 2012

Actually, you should blame Congress and Grover Norquist for that. The President wants to make sure the Mitt Romneys of the world pay more than the ridiculously low 15% or so they currently pay. Get the rich to pay their fair share, and it won't be on the middle class.

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George Deak

1:37 pm on Friday, June 29, 2012

Robbin,
Leaving ethical issues aside, let me point out that it is in the interests of the "middle class" to provide health care to all. Perhaps you like to eat out sometimes. Would you rather have a waiter who gets treatment for an infectious disease and maybe stays home for a few days or one who comes to work sick? We don't live in a bubble, nor would I want to.

Theresa

2:16 pm on Thursday, June 28, 2012

@ Kim Thank You for using the brand spanking new Dem Talking Point
"I'm curious to know if you were this offended when Romney passed a very similar law in Massachusetts, after which Obama's Affordable Care Act is actually modeled."

Try as hard as you may but Health Insurance premiums in MA, are the highest in the nation. MA taxpayers now know, that it was a fabricated lie that mandated Mass Health, would stabilze health care costs or lower them. Up, Up, Up but never down.

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Kim Poness

3:04 pm on Thursday, June 28, 2012

Theresa - I'm curious - where are you getting the figures to support the claim that Massachusetts health insurance premiums are the highest in the nation? I just looked at the rates across the country from 2008 to 2010, and found that your statement isn't exactly factual. Are we among the highest? Yes. But our median income is also among the highest in the nation. We are higher paid here, with insurance premiums that reflect our higher wages.

I’d be interested to see what data you have found to support your claims.

http://www.census.gov/hhes/www/income/data/statemedian/
http://www.ncsl.org/issues-research/health/health-insurance-premiums.aspx

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Chris L.

3:13 pm on Thursday, June 28, 2012

Shhhhh, now now now, its all champagne popping, unicorns and rainbows today. Its not their money.

Its a shame that Romney's name is so attached to the MA healthcare debacle, otherwise, he could attack it a little more vigorously and let everyone know "the cake is a lie".

Call it whatever you will, but we were all taxed today.

But on the bright side, people in MA using EBT cards? They now have more money for SUVs with 20" rims on them. They don't have to pull out cash to pay for medical bills.

For every person who ACA helped today, 3 or 4 are waiting in the wings to job the system.

Again, why work? There are people like me who will pay the subsidized portion of your rent, give you a card that recharges itself on the 1st of the month that you can take to Foxwoods, on cruises, etc etc, buy tattoos with, even bail yourself out of jail....

and now your NON-job offers health care?!?!? While I'm working 40-50 hours a week? Hmmmmm....whose the sucker here?

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Ben Jackson

3:25 pm on Thursday, June 28, 2012

So, Chris - David says that ther eare "a dozen" people who will abuse the system for every one like my daughter. You say "3 or 4."

The only true statistic I can see is that at least two people will completely fabricate numbers to make a point.

Kim Poness

2:50 pm on Thursday, June 28, 2012

@Theresa - so Romney lied? Oh, and you're very welcome - i didn't know I was using the "brand spanking new Dem Talking Point", but I'm glad that made you happy. It was actually a valid question and an equally valid observation, but I will take your sarcastic partisan response as the best you could muster on short notice. Isn't it possible to have an intelligent debate anymore? Or do we always have to resort to this shallow nonsense?

And Theresa, just for the record, I'm not a Democrat.

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Theresa

7:41 pm on Thursday, June 28, 2012

@ Kim, I've been a registered Democrat for 32 years, born and raised in Natick, Ma. Just a plain ol' Dem from yesteryear. Not one of the Socialist, Marxist, Progressives or Communists that took over the party.

A tax is a tax. The Govt has no business, managing my healthcare. Or grabbing a sixth of the free market. The quality of health care has fallen for all taxpaying MA residents. Waiting 3-6 months to see your primary care Doctor or a specialist is just the norm now. Just go to the ER, your told. Check out the state budget to see the real numbers of how much this is costing. Up, up, up.

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Kim Poness

9:24 pm on Thursday, June 28, 2012

Theresa - I would suggest you switch doctors. I have never waited months to see my primary care doctor. Actually, I've never waited for more than 3 weeks for a routine yearly physical, and my doctor spends 20 - 30 minutes talking with me before the actual physical examination. My quality of health care has actually increased, but maybe I'm just lucky. I'm not sure how health care for all is socialist, marxist, progressive or (oh my) communist.

Damon Michaels

2:58 pm on Thursday, June 28, 2012

The tax of which people are speaking is if you don't buy insurance. Read page 30 and 31 (not what the viewer has for page numbers, but what is 'printed' in the document) to understand that this is nothing new.

http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf

Health insurance premiums highest in the nation? Nope. My insurance is through Oklahoma, I am paying more than BCBS and get less coverage.

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Kira Gagarin

3:21 pm on Thursday, June 28, 2012

Just a thought... The Supreme Court was not ruling whether this was good or bad policy, they were just stating that the Federal Government has the power to impose taxes on the nation under our Constitution. Thus, you either buy insurance and pay a lower tax or don't and pay a higher tax. See page 50 of the Decision. Are we arguing that this cannot be construed as a tax?

Now, a bit of my 2 cents, worth much less than statistics or references to the constitution. Universal healthcare should be a right, not a privilege. Those that don't want to work won't be swayed by having health care or not, they won't work regardless. Those of us that DO work and need urgent care won't have to sell our soul for it.

Moreover, I think we all have a lot of reading left to do on this before we can actually come out huffing and puffing about one side or the other. Hopefully, over the next few days we can all get more informed about what this all means and then discuss it civilly without anonymously calling our neighbors carpetbaggars (though I'm not even sure what that means) and telling them to move along from somewhere that is their home.

And Kim, thanks for the summary of which president elected what justice. I was headed there, fast and furious.

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George Deak

9:43 am on Friday, June 29, 2012

Bravo, a voice for fact based arguments and civility!

Lynn

3:39 pm on Thursday, June 28, 2012

We have to pay car insurance. How is this different?

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Chris L.

3:45 pm on Thursday, June 28, 2012

Ben,

Do you know why there are no numbers for benefits fraud? Because the Democrats are too spineless to go after the lifeblood of the people that keep voting them in. If you notice that the MA GOP tried to get EBT card pushed through....who shut it down?

Perhaps if they were a little more careful with WHO got the money rather than how many different ways they could come up with to give it to other people, hard working Americans would be a little less offended every time something new got passed.

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Ben Jackson

4:01 pm on Thursday, June 28, 2012

Actually, there are clear and readily obtainable statistics on medicare fraud.

In FY 2011, nationally there were 10,685 investigations for Medicaid fraud. This led to 1,011 indictments or incidents of charges being brought.
Source: http://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/expenditures_statistics/fy2011.asp

Total Medicaid enrollment for FY 2009 was 64,594,979. Source: http://www.statehealthfacts.org/comparemaptable.jsp?cat=4&ind=198

This means that 1.595x10-^3% (or, very, very close to zero) of Medicaid cases can be proven to be fraud. (1011 / 65,594,949).

There is no suppression here, it just feels better to make up facts that fit one's mindset.

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Kim Poness

4:34 pm on Thursday, June 28, 2012

@Ben - love that. I'm a fact junkie. I've always wondered about medicare fraud (yes, honestly have always wondered about that), but never actually took the time to find the data. Thanks for the links.

Chris L.

3:50 pm on Thursday, June 28, 2012

As a military veteran, I'm also offended that its still legal to lie about your military record. While I understand there is a thin line between personal bragging and blustering and using said lies for profit, I think that distinction should have been made and the law upheld.

So what have we really learned today as a country? Its OK to lie, and you can impose any fee on the American taxpayers you want, as long as you call it a tax afterward.

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Kim Poness

3:53 pm on Thursday, June 28, 2012

@Chris - is it possible for you to try to make a point without sarcasm and name-calling? I'm curious.

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Chris L.

3:54 pm on Thursday, June 28, 2012

If it looks like a duck, walks like a duck, talks like a duck.....

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PREDATOR

3:57 pm on Thursday, June 28, 2012

Kira:
"Those that don't want to work won't be swayed by having health care or not, they won't work regardless." - except now they get a net gain and those who work are at a net loss after paying for those who do not work.....it certainly does not inspire the unemployed to work.

"Those of us that DO work and need urgent care won't have to sell our soul for it." - our souls...no you are right. But we will have to pay much more. First we are already at a loss after providing for those who do not work. Second, we will see our rates go up....insurance which is not based on risk is infact just welfare. Third, our rates will rise because more people are covered under fewer policies. Third, to help pay for those who don't pay into the system and for those who don't belong here in the first place, the US gov has had to borrow and print so much money that the dollar you are holding today may well be worthless tomorrow.

I agree that your thoughts are nice....but nice thoughts and reality are often at odds.

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David Nolta

5:57 pm on Thursday, June 28, 2012

Predator--like several others here--insists that there are two types of Americans--the "predator" type (unfortunate label, but I didn't choose it) who are working working working and paying paying paying for everybody else, and that "everybody else"--the poor (who are poor because they refuse to work, not because they can't find work, or are disabled, or who are too old or too young to work, or have suffered more setbacks--the cutoff number for acceptable setbacks being the number of setbacks that a predator can withstand). But whether they like it or not, those in the lucky "predator" group (maybe the label is apt?) cannot change the fact that all these other Americans are JUST as American and JUST as worthy of opportunity and life and liberty and the pursuit of happiness (and health is fundamental to these things--inseparable from these liberties) as they are. Empathize--show us just once that you can put yourself in the place of someone who is NOT you. Our Founding Fathers did it. Abraham Lincoln did it. FDR did it--sorry Theresa. Now you try! Take the challenge! Good luck. Happy Day.

Kim Poness

3:58 pm on Thursday, June 28, 2012

I'll take that as a "no" then. That actually makes me sad. I enjoy an intelligent exchange of ideas. Ah well.

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Chris L.

4:03 pm on Thursday, June 28, 2012

I prefer to think of them as colorful examples. So tell me again, how the MA Senate and House Dems were brave, and showed spine and heart in their continuing support of the taxpayer black hole that is EBT?

Just because I'm not all monotone and NPR-esque doesn't mean I'm not making a point. It just means you happen to disagree with my point and label me as sarcastic. But there's still a point being made.

Chris L.

4:04 pm on Thursday, June 28, 2012

@Ben except, you know.....MY comment was about EBT fraud. But those are interesting facts about Medicare. Cool story, bro.

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Chris L.

4:10 pm on Thursday, June 28, 2012

Sorry....apparently that was sarcastic, even though I paraphrased one of your comments from up above.

Its only sarcastic if you disagree with it though, right?

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Kim Poness

4:15 pm on Thursday, June 28, 2012

Actually, I wasn't disagreeing with anything other than statements presented as fact that really are simply conjecture. I haven't made up my mind which side of the issue I'm on because I haven't yet read the opinion.

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Ben Jackson

4:16 pm on Thursday, June 28, 2012

"Chris L.
3:13 pm on Thursday, June 28, 2012
For every person who ACA helped today, 3 or 4 are waiting in the wings to job the system."

"Chris L.
3:45 pm on Thursday, June 28, 2012

Ben,

Do you know why there are no numbers for benefits fraud?"

Yeah. Cool story, bro.

Kira Gagarin

4:10 pm on Thursday, June 28, 2012

PREDATOR (really? PREDATOR?). Who are you agreeing with that my thoughts are nice?

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Jim Rizoli

4:15 pm on Thursday, June 28, 2012

The Democrats keep winning (here anyway) because they give the house away.
Think about all the people who keep voting Democratic because they get all the benefits provided.
Kinda reminds me of the term Rice Christians.....keep giving the people food and they will show up in your church every time.
It's not that I'm against poor people or helping them, but it's sad that we're a welfare country today. I guess this is one way we get back at the rich, as most of them with the middle class are paying for it. You only win if your rich or poor.
Jim@ccfiile.com

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David Nolta

6:05 pm on Thursday, June 28, 2012

No, Jim, the poor do not win. And we all get benefits. Social security? Police and fire departments? As Ben said, you use the roads. The libraries. The schools. And what good are any of these if you don't have even basic healthcare? This isn't about getting back--it's about justice. It's about preserving opportunity. And it's about getting better, as a community.

PREDATOR

4:20 pm on Thursday, June 28, 2012

Kira: I guess you didn't like my thoughts....I thought your ideas were nice.

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Chris L.

4:24 pm on Thursday, June 28, 2012

@Ben. OK, copy and paste works. Good catch.

Now--my disagreement was with SCOTUS interpretation. The dissenting opinion states the law violates the Commerce Clause. That should have been the end of the discussion. Why was it allowed to be reinterpreted as a tax? Was it written that way? Isn't the process supposed to be deciding if laws AS THEY ARE WRITTEN to be deemed constitutional or not? If that's the case, then how did we end up at "its unconstitutional, but we know what you meant"?

That's not how its supposed to work. Strike it down, make them rewrite it to fit the Constitution, and pass it again.

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Kira Gagarin

4:35 pm on Thursday, June 28, 2012

Chris, that is the SC's mandated job. Instead of killing legislation, they must try to find a way to uphold it, if possible under the constitution, page 50 of decision: "JUSTICE GINSBURG questions the necessity of rejectingthe Government’s commerce power argument, given that §5000A can be upheld under the taxing power. But the statute reads more naturally as a command to buy insurance than as a tax, and I would uphold it as a command if the Constitution allowed it. It is only because the Commerce Clause does not authorize such a command that it is necessary to reach the taxing power question. And it is only because we have a duty to construe a statute to save it, if fairly possible, that §5000A can be interpreted as a tax...". That IS how its supposed to work...

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Chris L.

6:14 pm on Thursday, June 28, 2012

Today is a fine example of how that setup can lead to a failure.

So here's a scenario(on an obviously different scale): You are given a paper to write, but it has to stick to a certain framework or theme. You turn in said paper, and while it is brilliant, it does not meet the requirement. It should not be your professor's job to reinterpret the intent of your paper to MAKE it fit the framework. It should be handed back to you with a bunch of red ink on it, telling you "if you make these changes, then it will pass."

The SCOTUS' job should be to interpret legal issues, as handed to them, to fit the Constitution, as written, not to attempt to find common ground. That's what the other 2 branches are for. And yes, I believe it should work like that in every case, not just because it went that way today.

As a prime example, the other case today the "Stolen Valor Act"....SCOTUS struck it down, but ruled it could be rewritten and reheard. Soooo....why does something like the Stolen Valor Act get struck down with a "but you can try again" caveat, but one of the most important rulings of our time get a "well, you know, we found a way that its totes uncool, but if you call it this, its like, way cool braw."? (to paraphrase Ben)

Ben Jackson

4:36 pm on Thursday, June 28, 2012

Actually, the job of SCOTUS is to interpret the law. The law never said "This should totes be a fee under the Commerce Clause, but no way, brosef, is this ever a tax."

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john smitty

4:50 pm on Thursday, June 28, 2012

I am so tired of hearing people say "The rich pay their fair share" as Ben comments above on the 15 %. So, say I make $60,000 and pay 28%. Keeping the math simple, I would be paying $16,800. My neighbor makes, say $2 million, but only pays 15%. He is paying $300,000!!! in taxes. So who exactly is not paying their fair share?? $300,000 verse $16,800?? And I am more likely to ever use government welfare than my neighbor.

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Donald Wendt

5:37 pm on Thursday, June 28, 2012

Sorry John percentages don't work that way. Using your example, $16,800 means more to the person making $60,000 than $300,000 does to someone making $2,000,000. With everything being equal the person making $2,000,000 should be paying $560,000.

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Donald Wendt

6:05 pm on Thursday, June 28, 2012

Not to harp on the issue, but I want to take this a step further. In 2010 Jonny Depp made about $100,000,000. If he paid 15% in taxes he would pay a whopping $15,000,000!!! A substantial sum of money thank you Johnny, but if we taxed him the same percentage as the person making $60,000 Johnny's tax jumps to $28,000,000 a difference of $13,000,000. In other words the difference is equal to the taxes of 77 tax payers making $60,000 used in this example.

Sorry Johnny didn't mean to pick on you. Love your Pirate movies.

john smitty

4:52 pm on Thursday, June 28, 2012

Typo should be "don't pay" Sorry

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Paul Bishop

5:08 pm on Thursday, June 28, 2012

Ben and Kira, you must realize by this point that they have no interest in realities, facts, or common sense.

John, Yes. Why should your neighbor pay a smaller percentage of what he makes BECAUSE he makes MORE than you? I know big numbers confuse, but the simple fact is, you are demanding that the rich pay less because they are rich. It's THAT simple.

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PREDATOR

7:46 pm on Thursday, June 28, 2012

"But whether they like it or not, those in the lucky "predator" group cannot change the fact that all these other Americans are JUST as American and JUST as worthy of opportunity and life and liberty and the pursuit of happiness (and health is fundamental to these things--inseparable from these liberties)". _David

I agree one hundred percent. We all as Americans have a right to opportunity, life, and for liberty. However, and this is where your argument fails, American's do not have a right to equil outcomes. Otherwise where does the redistribution end? Your lovely wife? Your 2.5 kids? Your grades? Your looks? Your intelligence? If you are willing to apply this logic to health, more specifically health insurance, why not happiness? How will the government level the playing field for that on?

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David Nolta

9:45 pm on Thursday, June 28, 2012

The pursuit of happiness. No one can guarantee happiness. But few can pursue happiness without health. Think about it--an infant--who certainly never worked for it!--must have health care to survive. An older person must have it to ease the increasing pain and problems associated with age. And everybody must have some access to basic health in order to live and to PURSUE happiness. It's not the happiness that is guaranteed--it's a shot at it, and that can hardly be said to exist without some health care.

robert boberg

8:51 pm on Thursday, June 28, 2012

I have a daughter who has a chronic condition since birth..In 2009 she had brain surgery. There were complications-an infection (meningitis) She had 5 surgical procedures and 37 days in the ICU-- Two weeks after she got home, Her insurer CIGNA dropped her coverage after 14 years of paying premiums- Thanks to Mass health she is now covered. The Europeans hold that healthcare is a right and not a privilege. They ousted for profit insurance for a single payer plan. One private enterprise collects premiums and pays claims-That's it- They take 5% for operating costs, 95% pays claims. Everyone pays based on a sliding scale .As a result, everyone gets care, no one gets a bill or files for bankruptcy. -- In the USA thing differ. You pay a hefty premium to an insurer who takes 30% to 40% for operating costs which includes lobbyists and shareholders. The insurers are solely committed to the shareholder, not to the sick The President's plan should lower premiums making health care affordable- There are 51 million potential customers out there.. Only in the USA , do thousands of Americans with treatable issues die for lack of insurance. Only here do folks lose everything and file for bankruptcy with staggering medical bills-- This could easily be your fate even if you have coverage. Under the President's plan, you may chose not to be covered, but you will be fined. This is not a tax, It insures me that when you have your day in the ER ,it is not as a freeloader.

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David Nolta

9:46 pm on Thursday, June 28, 2012

Well said, and moving, Robert.

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The Troll of Northborough

10:17 am on Friday, June 29, 2012

People are missing the whole tax thing,, its easy.
Everyone,, EVERYONE gets a tax credit of $xxxx.xx to cover health insurance, if you elect to NOT have health insurance you lose that tax credit.

ALSO as part of this, the tax credit you get covers the fee/charges that it would cost a federal employee for medical insurance, the idea was that simple, to give everyone in America affordable health insurance. We all know Fed’s have an awesome insurance plan, why can we offer citizens of the US of A, that same plan?

Now politicians being what they are, need to add to and take away from the idea, distort what the intended purpose was for the idea and then sit back and say “ wow that’s crazy” and not realize the mess they turned a great concept into.

Moving forward, We need to start someplace, with no line in the sand, we have nothing to cross, no way to move forward, is this bill perfect? No, is it a starting point? Yes and that’s what we needed, a place to start.

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UglyHat

10:51 am on Friday, June 29, 2012

Main St. Resident – it is not easy. This is not a simple problem and it does not have a simple solution.

First, not EVERYONE pays taxes. Illegal immigrants and many others who work ‘under-the-table’ are cheating the tax system for financial gain. If they are willing to cheat in this respect, I doubt they will obey an insurance mandate. But they will use our medical system whenever they need it. Until the ‘penalty’ is significantly higher than the insurance premium and also punishable by imprisonment, many will cheat. And so long as there are many cheaters, premiums for those that pay will continue to rise.

And the answer to your question ‘why can’t we offer citizens the same plan as the Fed employees get?’ is ‘because we can’t afford it’.

Chris L.

8:53 pm on Thursday, June 28, 2012

Just an extension of the snowflake generation. Things that have remained something to work for throughout human history, suddenly have become a birthright of the masses.

So....next up Genius Squad......overpopulation, and dwindling access to food and clean water worldwide. Now that we have spent the last 100 years making strides to make sure that we have forever altered the natural life cycle on Earth...how do we keep up with the strain on resources that is now going to become a three headed monster: 1. People are living much longer than they did years ago, straining our resources in every imaginable way. 2. One of those ways is money...that we won't be able to move elsewhere.(Now that we have deigned this a birthright, it will touch off chaos in the streets to take it away). 3. Now we can't spend that money on our "white guilt", helping out all of the other unfortunate countries of the world.

The spirit that made this country one of the greatest powers of our time is slowly fading into the sunset. While I am glad that we at least spent the money on our own citizens for once, instead of a country that will still hate us, I feel we are sending the wrong message to a growing class of people more than willing to kick back and let us provide. I agree with many of the provisions of ACA. There was a need for reform. But I honestly think its gone too far. It WILL be abused, because the government will not install oversight. There are holes that need to be patched.

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David Nolta

9:48 pm on Thursday, June 28, 2012

Yes, let's patch the holes, and regulate well, by all means! There will still be corruption--there always is--but we're moving in the right direction (and may I say, a quintessentially American direction? the same direction we've been moving in, slowly but surely and not without setbacks, since we became America.).

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J Bruce Gabriel

8:22 am on Friday, June 29, 2012

Ruling Obamacare constitutional strikes a terrible blow against states rights and the long established concept of federalism.

I have no problem with the various states implementing their own Obamacare type plan at the state level, if their citizens want it. However, the federal government should not be involved. There is just too much temptation to use the federal government as a slush fund because the feds can just issue debt and then print money to cover the costs. The states are limited in that regard because most are required by law to balance their budgets every year and they can't run the monetary printing presses to monetize the debt as the federal government can to provide free stuff to the general public.

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UglyHat

8:56 am on Friday, June 29, 2012

I am disappointed. Not with the ruling because I think the ruling was correct. But I feel like we were duped – lied to again. I am starting to feel like Obama and the Dems knew exactly what they were doing when they wrote this bill. They set it up as a tax (managed and collected by the IRS at tax time) and unequivocally denied it was a tax to get the votes they needed to pass it. After all, it’s not illegal to lie to the public. Then, when it came time to argue in court, tell it like it is – it is a tax (because it is illegal to lie in court). They let everyone freak out about the commerce clause and the limited role of government knowing the SCOTUS would look at all options, not just the commerce clause – pretty slick actually. Maybe I’m giving them too much credit but I don’t think so.

I am glad that we don’t have to worry about pre-existing conditions or losing heath insurance due to unemployment. The benefits of this law were always easy to see. But I am concerned about the number of doctors available to treat 30M newly insured patients. I am particularly concerned about my family doctor. I worry that too many new regulations will tempt him to retire, leaving me hunting for a doctor in a market with too few.

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UglyHat

8:57 am on Friday, June 29, 2012

I am also concerned about the cost. We are in no position to be spending money this way. I wish they would spend some time reducing fraud and validating that people are truly needy before giving them whatever they want. I am also concerned about what this means to Massachusetts. The Federal Government has been subsidizing the MA health connector (or whatever it’s called) for years. When that support is diminished our state and local taxes or insurance premiums will have go up (again).

But I don’t believe for a minute that this will be repealed. Even if the GOP gets the WH, Senate and the House I don’t think they are crazy enough to repeal it. It’s ours now, we own it. I hope it turns out to be better than we thought. And I hope we can afford it.

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David Nolta

9:41 am on Friday, June 29, 2012

Most things that are worth something, cost something. I don't know how much it will cost--but I do know that no two people will answer that question in the same way, nor will any ONE answer be comprehensive. The question of whether or not we can afford it aside, I think it is a positive thing that more and more people think it is worth trying.

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Pete

9:52 am on Friday, June 29, 2012

Its refreshing to see that the Patch is getting more evened responses to issues rather than the never ending right wing opinions. Let's face it, Obama is a popularly elected president who was elected due to the gross failure of Republican policies. The Democratic senators were elected for the same reason. The democratic house, when health care was passed, was elected for the same reason. So trying to portray the health care law as something done illegally is a stretch, even for the Supreme court, which has a number of Bush appointees. And to those who claim that no one needs to work anymore and they will get free health care now, guess what, people have been getting free health care in this country for a very long time. Its called spreading the expenses to those who pay. Hospitals right now treat those who can't pay and those who can pay pick up the tab. At least the law now tries to get fair payment from all. Now if only the House could be a democratic majority again, we could get things done in this country rather than have a Republican controlled house who's main goal in life is to regain the power they lost, at all of our expense.

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Chris L.

9:56 am on Friday, June 29, 2012

The irony of you lauding an "evened out" response is almost comical.

"Its refreshing to see that the Patch is a gathering place for people who seem to mostly agree with me. Blah blah blah, Republican failure. Blah blah blah."

There, fixed it for you.

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David Nolta

10:12 am on Friday, June 29, 2012

Pete, that was very diplomatic (Chris could take a lesson and benefit nicely). And by diplomatic, I mean that you were very easy on the bold-faced conservative agenda to paralyze the government till the GOP is able to re-take the White House. That, in any other era of our history, would have seemed downright treacherous.

Laurence M. Schmeidler

9:54 am on Friday, June 29, 2012

As we go forward, what will be the impact of this Supreme Court decision on small business, the engine that drives our economy and hopefully will help pull us out of this stalled recession?

Larry Schmeidler

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Jim Rizoli

2:34 pm on Friday, June 29, 2012

What will be the impact on adding 30 million new health care clients on everything?
Not to mention the millions of illegal aliens that are already on it?
But that's not an issue here as many people think that we have a money tree out back where you just pull the money off it.
So now the Govt. can tell the States what to do and how to handle their Health Care issues. This ought to be good!
Jim@ccfiile.com

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Kevin P. Crotty

2:35 pm on Friday, June 29, 2012

I think the Supreme Court decision was a tragety . More government incursion into the lives of its' citizens ! The Democrat's idea in running this country is to drive all hard working CITIZENS TO THE POOR HOUSE !

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Chris L.

2:37 pm on Friday, June 29, 2012

Well, since we already gave everyone health care at the federal level, what's holding up federal recognition of gay marriage now. Let's rip the band aid off and get it over with, rather than another 2 year news cycle....

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Jim Rizoli

2:42 pm on Friday, June 29, 2012

The Democrats want to pay all the bills with everyones else's money.
Keep planting those money trees and everything will work out fine.
Jim@ccfiile.com

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Paul Bishop

3:10 pm on Friday, June 29, 2012

No, they passed a law (and confirmed it's constitutional) that penalizes people who freeload upon the medical system. Call it a penalty or a tax, it only applies if you refuse to have reasonable health coverage. It's simply a way to get back a little of the money that the freeloaders take from your pocket Jim.

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David Nolta

5:24 pm on Friday, June 29, 2012

And once again, Jim, you are not reading the news, nor the many clarifying posts on The Patch. The Supreme Court that upheld this decision depended on Republican support. So please stop trying to take the easy way out by saying it's the fault of the Democrats. When in fact it is the PRIDE of many Democrats and some Republicans, too!

Jim Rizoli

3:25 pm on Friday, June 29, 2012

Paul...Doesn't make sense....."Penalizing freeloaders" How does that happen? The illegals and most uninsured use the hospitals as their primary care, this is where they fly under the radar. Of course this cost isn't figured into any picture, until the hospital goes bankrupt. Lets say they were even able to send them a "Penalty Bill" try finding them first (the illegals anyway) and then get them to pay it....LOL Time for a name change...new identity, and new address.
Jim@ccfiile.com

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Paul Bishop

3:42 pm on Friday, June 29, 2012

Okay Jim, so let's be clear.. you advocate for making medical care "see if they can pay first", and not treating those that cannot pay. Yes or no.

And yes, some will be illegals.

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Paul Bishop

3:51 pm on Friday, June 29, 2012

And Jim, it's administered under the Federal tax system, as part of Federal tax return. It's simply withheld from any refunds the person had coming, or handled the same way any other tax is.

Taxes do that little thing we call "Provide for the General Welfare", it's from a document you ought to get to know.

Pete

3:32 pm on Friday, June 29, 2012

This is outrageous! Telling people to pay for their own health care insurance! A stock market that's up 30% in three years! Bin Laden dead! Taxes are unchanged! Iraq war is over! The sky is falling...the sky is falling!

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PREDATOR

3:48 pm on Friday, June 29, 2012

Just wait for the workers and doers to go on strike.

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Paul Bishop

3:55 pm on Friday, June 29, 2012

Why would they do that? Because their employers are required to provide them with minimal health insurance as part of employing them?

No concept of reality at ALL.

Jim Rizoli

4:03 pm on Friday, June 29, 2012

Paul.....Here is my view....We all should pay a reasonable cost.
Illegals should get nothing! That alone will bring the cost down tremendously.
Health care is too expensive because of the freeloaders getting emergency care.
The hospitals have to pass that cost on to someone. If everything worked above board we wouldn't wouldn't be paying such a high cost. Reign in the cost and the cost of Health Care Ins. goes down...make sense?
If worse came down to worse the illegals can charge it to their EBT cards they usually have a couple to use.
Jim@ccfiile.com

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Stephen Pohl

4:37 pm on Friday, June 29, 2012

What I find so interesting about all the comments, is that many, if not all, are NOT based on facts. Opinions are good, but let's not distort facts. I'm a 2+2=4 guy, and often someones '2' is another's '3', it can't be both. People need to have their facts right before giving a comment.
As for being "taxed" in Massachusetts for not having health care (Romney), and being "taxed" under Obamacare, what's the difference? It's still a tax.... is being taxed for not having health care in Mass, and/or not having it under Obamacare the same? If Obamacare 'tax' is unfair, then the Mass health 'tax' is also unfair - 2+2.

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David Nolta

5:31 pm on Friday, June 29, 2012

It is not a tax. It is a priority toward which some of our tax money--which we already pay, and a good thing, too--will go, for the benefit of all Americans. It will save us money in the long--and I believe, even in the shorter--run. All individuals will be held to a similar standard. And by the way, it isn't by any means an "illegal immigration" issue. A great country does not customize its laws, responsibilities, and benefits, around what the small illegal minority may or may not do. Some individuals (and not only illegal immigrants) will always find a way to get something for nothing. This decision is not about that; instead, it IS a positive step toward the right and even economically sound and JUST way of guaranteeing basic health care for all citizens.

Paul Bishop

4:59 pm on Friday, June 29, 2012

Well, Jim, you answered the question. Bravo.

Guess what? We happily don't live in country where we let people die on hospital steps, as you would have it. We are humans. We are better than that.

Or at least the rest of us are.

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Jim Rizoli

5:26 pm on Friday, June 29, 2012

Paul....Maybe you can show me where I advocate people dieing at the hospital steps.
How about playing honest with this one?
Jim@ccfiile.com

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Kira Gagarin

8:01 pm on Friday, June 29, 2012

"Illegals should get nothing!" seems to suggest letting that happen. Its fine if thats your view, but you should own that view.

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Paul Bishop

8:21 pm on Friday, June 29, 2012

Kira, that is exactly his stance. The Rizoli's of the world are so charming are they not? Pooling costs and risks is the basis of providing for public health.

Let someone DIE on the steps of a hospital because they can't produce papers. Check citizenship before administering emergency medical care.

You know what Boys? We aren't ACTUALLY living a post-apocolyptic nightmare where killing your fellow man for a can of cat food is necessary. Illegals do not come HERE for medical care because the medical ISN'T socialized like it is in ALL other developed nations. We, America, are the THIRD WORLD when it comes to providing the populace with medical care.

You must be SO proud.

David Nolta

5:40 pm on Friday, June 29, 2012

"Illegals should get nothing!"--J. Rizoli. Discuss.

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David Nolta

5:41 pm on Friday, June 29, 2012

And this is by no means an "illegals" issue. Back on track.

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Jim Rizoli

6:13 pm on Friday, June 29, 2012

David as usual you missing the point. The illegals HAVE to be figured into the equation, if not, you're not going to get the full impact.
ANYONE who is getting FREE Health Care has to be figured in.
This is what they do in Framingham all the time when it comes to the census.....they claim we have 67,000 people but they don't include the illegals which at one time was 20-30k? So how fair is that? The liberals want us to think they don't exist but as time goes on they do and the cost of tending to them is staggering.
So to talk about Health Care without them is not in the best interest of those who are paying for the care. Those who do pay, pay a higher premium right for those that don't. Same with car insurance.....why do you think we pay more in Framingham than someone in Dover....Take a guess.....
Why is it that no matter what we talk about cost wise it always reverts back to the........
Jim@ccfiile.com

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Donald Wendt

11:26 pm on Friday, June 29, 2012

If you haven't figured it out yet, do not believe anything the Rizoli's have to say. There is no way the infrastructure of Framingham could ever support 30000 additional people, but they continue to throw out their crazy numbers. As usual it is best to ignore their nonsense.

David Nolta

6:31 pm on Friday, June 29, 2012

Jim, as usual you are trying to make this a conversation about illegal immigration. Of course some (but not all) illegal immigrants will continue to benefit at the expense of the taxpayer--but by your own constant account, this has been happening for decades, and in that respect, the decision of the Supreme Court has nothing to do with this. Illegals benefitting from access to emergency care is a completely separate issue, and one about which, to read your posts (half quoting the Bible, half damning immigrants), you are quite uncertain and divided. And please stop stereotyping--this is not about your vaguely-defined "liberals"; it is a bi-partisan issue, and many Republicans also believe that health care is a basic American right. That is one of the best facts to emerge from this Supreme Court decision.

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Paul Bishop

6:46 pm on Friday, June 29, 2012

The Jim Rizoli Hate Parade in full swing folks....

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Jim Rizoli

6:56 pm on Friday, June 29, 2012

I do HATE! I hate having someone else spending MY money!
I'm curious....How many here love to have your money spent on PEOPLE (not just illegals) that don't deserve it?
I guess I must be the only one....LOL
Jim@ccfiile.com

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Joe Rizoli

7:06 pm on Friday, June 29, 2012

Anybody read Scott Brows article in the Boston Globe OPINION page today?

http://bostonglobe.com/opinion/2012/06/28/supreme-courth-health-care-ruling-bad-for-nation-and-for-massachusetts/i7G0ghvXkPTirPSQOklP4H/story.html

He brought up some very logical concerns.

Joe Rizoli

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David Nolta

8:57 pm on Friday, June 29, 2012

To reiterate, Scott Brown voted FOR it in Massachusetts, when MA had a Republican governor, and against it at the national level, when the president is a Democrat. Hmmmm. Mr. Brown, likable as he may be, is a politician, and, like most of them, not particularly subtle or clever. For example, he has little in common with the Founding Fathers (think about it!) for whom he speaks. Nor does he understand the spirit of The Constitution. And it always does make me laugh when a Republican suggests that it is the older Americans on Medicare who will suffer whenever the Democrats succeed in anything. Get real. Really, get real.

David Nolta

8:36 pm on Friday, June 29, 2012

Where does your money come from? What is it for? This is not about YOUR money rather than EVERYBODY ELSE'S money. It is about OUR money, our priorities, what we think is important as a country, not merely what you think is important as a Rizoli. It is the absolute height (or nadir) of irony that you two quote the Bible constantly, and speak for your version of God all the time, and then whine about YOUR money as if that were some brazen calf out of the Old Testament. NONE OF WHICH has ANYTHING AT ALL to do with the Supreme Court's decision not to block provisions which move us closer to the enlightened acknowledgement that basic health care is a fundamental American right, and that each AMERICAN citizen should have it and participate in maintaining it.

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Jim Rizoli

9:18 pm on Friday, June 29, 2012

This is what happens when you can't counteract our reasoning and expect us to agree with nonsense.
It's nonsense to think WE have to pay for the world around us, while they pay nothing, and laugh all the way to the bank.
Jim@ccfiile.com

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Joe Rizoli

3:53 am on Saturday, June 30, 2012

Thanks Obama for the new teeth
Signed, illegal alien
http://www.examiner.com/slideshow/teeth-1

Joe Rizoli

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David Nolta

8:09 am on Saturday, June 30, 2012

Milanek--nothing "nice"-- or true--about it. One more right wing, fanatical, know-it-all, doomsayer--and this one a lawyer to boot! I suppose it's a good thing that this "activist" hates EVERYTHING the Supreme Court has ever done, or at least in the past forty years. What I really don't understand is why so many people here post links--not to news or statistics, but--to pea-brained prophet wannabes and cheap chicken littles?? The sky is still in place, and it's a beautiful day! AND your doctor will still see you!!!!

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Linda Worthy

11:38 am on Saturday, June 30, 2012

$250 rebate b/c of Affordable Care Act

I just received a check from Fallon Community Health Plan for almost $250 as a rebate required by the Affordable Care Act.
Summarizing from Fallon's letter:
ACA requires health care plans to spend at least 80% of premiums on health care services and activities to improve health care quality. No more than 20% of premiums may be spent on administrative costs such as salaries, sales & advertising. This is called the "Medical Loss Ratio". ACA allows states to set a higher ratio than 80/20. In Massachusetts, the ration is 88/12.
The letter continues:
Fallon health did not meet the Medical Loss Ration set by Massachusetts in 2011 as it spent only 84% of $209 million in premiums on health care & activities to improve health care quality.
Fallon was required to rebate me 4% of my premiums. The check was enclosed.

Perhaps the Republican would like to repeal this.

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Linda Worthy

12:42 pm on Saturday, June 30, 2012

Let's just stop responding to the Rizoli. Nothing anyone can say will change the Rizoli. The Rizoli is entitled to unlimited free speech. No one has to read or repsond to the Rizoli on this or any other comment section ever again.

So Mr. Nolta, Paul, Dave, Kira, and everyone else -- please, choose not to respond to the Rizoli -- ever.

Andy Koenigsberg

2:19 pm on Saturday, June 30, 2012

Can you folks who do not agree with the Supreme Court's decision explain why a health care law supported by the very conservative Heritage Institute in the early 90s and introduced by Republicans in Congress in 1993 as an alternative to Clinton's plan, modeled on a law signed by our former Republican governor is now a subverive socialist plot to take away our individual liberties?

Hypothetically, if this plan had been brought to Congress by a hypothetical President Romney in 2008 - how would you have felt about it?

Remember that if you have to file quarterly taxes and don't you pay a penalty. Not having health insurance requires you to pay a penalty. The Feds are not taking over health care. They are forcing you to buy PRIVATE insurance for cripes sake. YOU decide what kind of insurance you want. You don't want insurance, you pay a penalty. Again - your choice.

One other thing to consider - we spend almost twice per capita than any other industrialized country for health care - yet we have lower life expectancies and higher infant mortality rates. This situation makes us less competitive in the world economy and is unsustainable.

Yes, most of these other countries have government run health care systems but the fact of the matter is that the current state of US health care shows our system basically sucks. Two other countries - Switzerland and Taiwan, have a system based on the ACA and they have better health care outcomes than the US.

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Ron Goodenow

3:24 pm on Saturday, June 30, 2012

What bothers me about this discussion -- aside from trolls -- is the utter and complete lack of compassion shown by so many who seem only to be worried about their taxes (very, very low by historical standards) and not about the millions of people who are without healthcare and die early, bankrupt their families (a great way to stimulate growth....). We have endless prognostication about the death of our country, the 'socialism' being unconstitutionally jammed down our throats (by Congress and the Supreme Court no less) and worse. Many of these posts read like they are from isolated suburban white folks worried about people of color or from other parts of the world, and forgetful of the mess left us by the very guys who they want to put back in power...oh and of the role of the GOP candidate who, as Andy points out, went on down to DC and tried (successfully I guess) to persuade folks there that the mandate was the right way to go. He didn't stay home and say my healthcare philosophy is for states only. Bottom line for me is what are the boo birds going to do to address these problems aside from 'repeal Obamacare', which conservative pundits like David Frum are saying will not happen, in part because of the damage it will do to a health system investing billions to modernize and comply. This is supposed to be one of the most creative places on earth, but read many of these posts and one gets the feeling that it is not only compassion that is missing.

Jim Rizoli

3:48 pm on Saturday, June 30, 2012

I'm all for Health care....who's going to pay for it?
Should one group of people foot the bill for the rest?
The whole system is screwed up, they would rather spend the billions of dollars on bogus wars than to help the people living here.
The messed Health Care system is just a symptom of something that is totally wrong.
Jim@ccfiile.com

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Andy Koenigsberg

4:45 pm on Saturday, June 30, 2012

No argument there. Had we not gone into Iraq - we would have had enough money to rebuild every school in this country, rebuild our infrastructure and revamp healthcare. Jim - we ARE footing the bill for the rest. Those people who cannot pay for their heatlh care drive up the hospital bills which drives up the insurance reimbursements which drives up the insurance premiums. Because these same people do not get preventive care - they show up for care when they have a major illness. Combined with excessive overhead at insurance companies, which the ACA caps - these are just some of the reasons why are system is messed up.

Linda Worthy

4:50 pm on Saturday, June 30, 2012

Andy -- I hope Obama's re-election campaign uses your first paragraph for a TV ad.

But hey, the health care war's over. The good guys won. Businesses will adjust and we'll have another 'new anormal'. States with less leadership and foresight than former Gov. Romney provided in Massachusetts will implement the law. Health care plans will be forced to control their costs. Millions and millions of American parents who could not get health insurance for their kids, will have it. And we are a better nation for that.
It feels like morning in America -- once again.

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