The big payoff

Nancy Pelosi said the healthcare bill would create 4,000,000 jobs. When a Democrat says 4 million you can double it for starters. Pelosi did not bother telling the public that those jobs will be government jobs; so it amounts to the same old welfare state blueprint. Nor did Pelosi point out that government jobs are the only jobs the government can “create.”

Nor did Pelosi specify how many new additions to the healthcare industry will actually care for patients. Irrespective of the rosy scenario presented in the enclosed article, my guess is that the majority of jobs will be high-paying administrative jobs, hospital maintenance jobs, and an assortment of non-patient-related jobs. Educated parasites and public union bums are the two groups most loyal to the Democrat party. It isn’t likely Democrats will deny them the lion’s share of the big payoff.

There is also the matter of the parasites in higher education training even more parasites for government jobs. Much of higher education is a farce to begin with. It is an obvious scam when there are no government jobs waiting for parasites after graduation. Higher incomes through higher education comes down to a self-fulfilling prophecy when tax dollars are involved.

Hussein & Company anticipating repeal when they lose control in 2012 have good reason to begin implementation now. A few million more parasites with tax dollar jobs will join their brethren when violence is called for. The Occupy Everything demonstrators are cream puffs compared to the violence parasites will call for when they are driven away from the public trough by repeal. There is no reason to believe the government will stand up to the violence. I can envision parasite-initiated violence ending with repealing repeal.

Obama administration to announce effort to expand health-care workforce
By Sarah Kliff, Published: November 13 | Updated: Monday, November 14, 12:01 AM

The Obama administration will announce Monday as much as $1 billion in funding to hire, train and deploy health-care workers, part of the White House’s broader “We Can’t Wait” agenda to bolster the economy after President Obama’s jobs bill stalled in Congress.

Grants can go to doctors, community groups, local government and other organizations that work with patients in federal health-care programs such as Medicare and Medicaid. The funds are for experimenting with different ways to expand the health-care workforce while reducing the cost of delivering care. There will be an emphasis on speed, with new programs expected to be running within six months of funding.

“This will open the inbox for many innovators and organizations that have an idea to bring to the table,” Don Berwick, administrator for the Centers for Medicare & Medicaid Services, said in an interview. “We’re seeking innovators, organizations and leaders that have an idea to bring into further testing.”

Health-care employment is growing steadily, with more than 300,000 jobs added in the past year, according to the Bureau of Labor Statistics. It has been one bright spot in the economy as unemployment has hovered around 9 percent. The bureau projects total employment in health care to grow by 3.2 million jobs by 2018, more than in any other sector.

At the same time, the country faces a doctor shortage. The Association of American Medical Colleges projects that the United States will have 63,000 fewer doctors than it needs by 2015. That shortage will grow to 130,600 doctors by 2025.

The need for a larger health-care workforce will probably become particularly acute in 2014, when the health-care overhaul is expected to expand health insurance coverage to millions of Americans. By 2019, the nonpartisan Congressional Budget Office projects, 32 million more Americans will have gained health insurance coverage.

That has left federal agencies looking to alternative ways to deliver care, ones that may rely more on community-based care and less on trips to the doctor’s office. Under this new program, organizations may be able to explore how community workers, volunteers, pharmacy techs or clinic managers could play a larger role in the health-care workforce.

“We have a wealth of good ideas in health care, but the big challenge is spread,” Berwick said. “This will be seed money to get innovation to go further. This is venture capital to grow good ideas to scale.”

The Center for Medicare and Medicaid Innovation, created as part of the Affordable Care Act, will administer and oversee the program, called the Health Care Innovation Challenge.

“In many ways, the health-care system in the future will be different from the health-care system today,” said Richard Gilfillan, acting director of the Center for Medicare and Medicaid Innovation. “We’re saying, let’s find the best people to do these jobs and broaden the workforce.”

http://www.washingtonpost.com/natio...orce/2011/11/11/gIQAxXfpIN_story.html?hpid=z1

 

In the unlikely event the Supreme court overturns the healthcare bill Democrats win and lose. They win because overturning the bill releases the pressure to vote them out of office so conservatives can repeal the bill. Democrats lose if the bill is overturned because they lose the biggest jewel in the socialist crown. Needles to say wannabe parasites take the biggest hit of all when millions of promised jobs evaporate.

Obama Health Care Law Reaches Supreme Court, With Over Five Hours Of Oral Argument Planned

WASHINGTON -- In an order released on Monday morning, the Supreme Court announced that it will hear more than five hours of oral argument in the challenges to the Affordable Care Act brought by 26 states and several private parties.

The order indicates the gravity with which the justices view the health care cases, as the Court rarely allots more than an hour to for argument in each case it hears.

Within those five-plus hours, the justices divided the time into four separate arguments to address the various questions raised in petitions from the Department of Justice, the 26 states and the National Federation of Independent Business.

The longest argument, set for two hours, will consider whether Congress had the power under Article 1 of the Constitution to enact the Patient Protection and Affordable Care Act. Article 1 outlines the types of laws Congress may pass, such as those that regulate interstate commerce. The Justice Department has argued in the lower courts and in its petition to the Supreme Court that the health care law's "individual mandate," which requires virtually all Americans to purchase health insurance or pay a penalty on their tax returns, falls within Congress' power under the commerce clause of Article 1.

The cases granted Monday come up from the U.S. Court of Appeals for the 11th Circuit, which struck down the individual mandate by a 2-1 vote, holding that the provision exceeds the scope of the commerce clause.

Majorities on the 6th Circuit and the D.C. Circuit have disagreed, siding with the Obama administration that the law falls within the clause's broad boundaries as articulated by the Supreme Court over the past seven decades.

The justices will also hear 90 minutes of oral argument on whether the entire health care law must fall should they find that the individual mandate is unconstitutional. The 11th Circuit found the mandate could be severed from the rest of the law and therefore refused to throw out the whole law. That ruling reversed Judge Roger Vinson's decision at the district court level that the mandate was not severable. The National Federation of Independent Business urged the Court to reinstate Vinson's decision, which remains the only one in the country to strike down the health care law in its entirety.

The justices will hear an hour of oral argument on whether they should avoid ruling on the merits at all because the individual mandate does not go into effect until 2014. Specifically, the justices will be asked to determine if the penalty that must be paid under the mandate constitutes a tax, which would trigger a federal statute called the Anti-Injunction Act. That law requires individuals to have actually paid the taxes required by a law before they can challenge the law's constitutional merits in court. A 2-1 majority on the 4th Circuit, composed of Democrat-appointed judges, tossed a suit against the health care law on these grounds several months ago.

The Justice Department urged the Court to rule on the merits and downplayed the 4th Circuit's decision in its brief. But last week, Judge Brett Kavanaugh, a prominent and influential conservative judge, dissented for that very reason from the D.C. Circuit's decision to uphold the mandate. Kavanaugh wrote that the penalty constituted a tax, which would bar the courts from considering the law's constitutionality until after the first penalties have been paid in 2015. That the justices asked for a full hour of argument on this issue after all parties petitioning the Court urged a ruling on the merits may signal that the Court is open to avoiding a politically charged constitutional decision during the heart of the 2012 campaign season.

The Court will hear one final hour on the constitutionality of Congress' pinning federal funding to the states on their participation in the law's health care reforms. No court has yet accepted the argument, put forward by the 26 states in this suit, that the health care law coerces and commandeers the states to act in violation of basic federalism principles.

Oral arguments will likely be scheduled for the third or fourth week of March, with a decision coming down at the end of June before the Court recesses for the summer.

http://www.huffingtonpost.com/2011/...l?icid=maing-grid7|main5|dl1|sec1_lnk2|112352