Monday, March 22, 2010

Armageddon!!

Better fill your shelter with goodies... and wtf was the "here comes Speedy" comment? Anyone have a clue?

Whats in the bill

Here is what to expect if the bill becomes law:

WITHIN THE FIRST YEAR OF ENACTMENT

*Insurance companies will be barred from dropping people from coverage when they get sick. Lifetime coverage limits will be eliminated and annual limits are to be restricted.

*Insurers will be barred from excluding children for coverage because of pre-existing conditions.

*Young adults will be able to stay on their parents' health plans until the age of 26. Many health plans currently drop dependents from coverage when they turn 19 or finish college.

*Uninsured adults with a pre-existing conditions will be able to obtain health coverage through a new program that will expire once new insurance exchanges begin operating in 2014.

*A temporary reinsurance program is created to help companies maintain health coverage for early retirees between the ages of 55 and 64. This also expires in 2014.

*Medicare drug beneficiaries who fall into the "doughnut hole" coverage gap will get a $250 rebate. The bill eventually closes that gap which currently begins after $2,700 is spent on drugs. Coverage starts again after $6,154 is spent.

*A tax credit becomes available for some small businesses to help provide coverage for workers.

*A 10 percent tax on indoor tanning services that use ultraviolet lamps goes into effect on July 1.

WHAT HAPPENS IN 2011

*Medicare provides 10 percent bonus payments to primary care physicians and general surgeons.

*Medicare beneficiaries will be able to get a free annual wellness visit and personalized prevention plan service. New health plans will be required to cover preventive services with little or no cost to patients.

*A new program under the Medicaid plan for the poor goes into effect in October that allows states to offer home and community based care for the disabled that might otherwise require institutional care.

*Payments to insurers offering Medicare Advantage services are frozen at 2010 levels. These payments are to be gradually reduced to bring them more in line with traditional Medicare.

*Employers are required to disclose the value of health benefits on employees' W-2 tax forms.

*An annual fee is imposed on pharmaceutical companies according to market share. The fee does not apply to companies with sales of $5 million or less.

WHAT HAPPENS IN 2012

*Physician payment reforms are implemented in Medicare to enhance primary care services and encourage doctors to form "accountable care organizations" to improve quality and efficiency of care.

*An incentive program is established in Medicare for acute care hospitals to improve quality outcomes.

*The Centers for Medicare and Medicaid Services, which oversees the government programs, begin tracking hospital readmission rates and puts in place financial incentives to reduce preventable readmissions.

WHAT HAPPENS IN 2013

*A national pilot program is established for Medicare on payment bundling to encourage doctors, hospitals and other care providers to better coordinate patient care.

*The threshold for claiming medical expenses on itemized tax returns is raised to 10 percent from 7.5 percent of income. The threshold remains at 7.5 percent for the elderly through 2016.

*The Medicare payroll tax is raised to 2.35 percent from 1.45 percent for individuals earning more than $200,000 and married couples with incomes over $250,000. The tax is imposed on some investment income for that income group.

*A 2.9 percent excise tax in imposed on the sale of medical devices. Anything generally purchased at the retail level by the public is excluded from the tax.

WHAT HAPPENS IN 2014

*State health insurance exchanges for small businesses and individuals open.

*Most people will be required to obtain health insurance coverage or pay a fine if they don't. Healthcare tax credits become available to help people with incomes up to 400 percent of poverty purchase coverage on the exchange.

*Health plans no longer can exclude people from coverage due to pre-existing conditions.

*Employers with 50 or more workers who do not offer coverage face a fine of $2,000 for each employee if any worker receives subsidized insurance on the exchange. The first 30 employees aren't counted for the fine.

*Health insurance companies begin paying a fee based on their market share.

WHAT HAPPENS IN 2015

*Medicare creates a physician payment program aimed at rewarding quality of care rather than volume of services.

WHAT HAPPENS IN 2018

*An excise tax on high cost employer-provided plans is imposed. The first $27,500 of a family plan and $10,200 for individual coverage is exempt from the tax. Higher levels are set for plans covering retirees and people in high risk professions.

12 Most Pesticide-Laden Fruits and Veggies

In descending order, the EWG's 12 most contaminated fruits and vegetables:
1. Peaches
2. Apples
3. Sweet bell peppers
4. Celery
5. Nectarines
6. Strawberries
7. Cherries
8. Kale
9. Lettuce
10. Grapes (imported)
11. Carrots
12. Pears
For the full list of all 47 fruits and veggies, go here.

Thursday, March 18, 2010

Countdown to health reform wire

Things seem to be coming together today about as well as the Dems could have expected. They seem to be getting a number of the pro-life Dems to sign on. And Stupak seems to be conceding the vote though he'll personally still vote against. They got solid news from the CBO this morning and that's pulling a few of the Blue Dogs back into the fold. We're following every development in our TPM auto-updating Countdown to Reform Wire.
Latest news: With Bill Posted, 72 Hours Until Vote: The reconciliation bill just went online. That means the vote will happen in 72 hours, at about 2:15 p.m. Sunday.

Wednesday, March 17, 2010

A man loves the meat in his youth that he cannot endure in his age.

Global meat production has tripled in the past three decades and could double its present level by 2050. That's likely to have a significant impact on human health, the environment, and the global economy in the next 50 year, according to a new two-volume report, Livestock in a Changing Landscape. Key findings regarding the economic and ecological footprint of livestock:

* More than 1.7 billion animals are used in livestock production worldwide and occupy more than one-fourth of the Earth's land.
* Production of animal feed consumes about one-third of Earth's total arable land.
* Livestock production accounts for approximately 40 percent of the global agricultural gross domestic product.
* Although 1 billion poor people derive part of their livelihood from domesticated animals, commercialized industrial livestock has displaced many small, rural producers in developing countries, like India and China.
* The livestock sector, including feed production and transport, is responsible for about 18 percent of all greenhouse gas emissions worldwide (the beef, pork and poultry industries emit large amounts of CO2, methane, and other greenhouse gases).
* The livestock sector is a major environmental polluter, with much of the world's pastureland degraded by grazing or feed production, and with many forests clear-cut to make way for additional farmland.
* Feed production requires intensive use of water, fertilizer, pesticides, and fossil fuels.
* Animal waste is a serious concern, since only a third of the nutrients fed to animals are actually absorbed and the rest pollute lands and waters.
* Total phosphorous excretions of livestock are estimated to be seven to nine times greater than from humans.

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