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Repeal Obamacare & Deliver Real Market-Driven Reform

There is no greater example of government overreach and unrestrained liberalism than Obamacare, the president’s signature legislative initiative. It is so deeply flawed and such a clear and present threat to our economic stability that there is no way to fix it; it must be repealed entirely and replaced with market-based solutions that work.

This past week, the U.S. Supreme Court placed the final decision regarding the future of Obamacare in the hands of Congress. As a U.S. Senator, I will use every measure to ensure a vote for the full repeal of Obamacare will be priority number one in the U.S. Senate.

Obamacare is an unprecedented, budget-busting government takeover of one of the largest sectors of our economy. We need only to look at southern Europe to see the long-term results of government overreach and excessive control of major sectors of the economy.  

We are destined to follow in Europe’s path unless Obamacare is fully repealed and replaced with a market-based solution that relies on the efficiency and innovation of the private sector to solve our most pressing health care challenges.

Obamacare isn’t the answer. But merely repealing bad policy is also not the answer. Our nation can afford neither Obamacare nor prior policy, both of which will cause deficits to balloon, businesses to suffer under excessive costs and families to fear loss of affordable care.   

My plan for health care reform addresses the fundamental flaws of our current system, including regulatory complexity, consumer detachment from decisions and the lack of rewards for quality and innovation.   

The key elements of my blueprint for restoring our health care system are as follows:

 

Incentivize Quality

The health care debate too often ignores the importance of quality outcomes – both for cost and for the health of our citizens.  I’ve been a leader in linking quality of health delivery to lower cost and better health.

As secretary of the Department of Health and Human Services, I launched the Hospital Quality Incentive Demonstration (HQID) based on the simple premise that hospitals can save money and improve outcomes with the right incentives. It worked.

With 250 hospitals around the country participating over six years, the program focused on quality improvements in treating heart attacks, congestive heart failure, pneumonia, hip and knee replacement and surgical care. Hospitals with improved performance received increased Medicare reimbursement.

The results were profound, including extensive quality improvements, 6,500 fewer deaths annually and savings to Medicare of an estimated $1 billion. Linking federal reimbursement for health care costs with quality outcomes drives down costs and incentivizes innovation.   

 

Encourage Personal Responsibility

We’ll never truly reform our health care system until consumers take more responsibility for their health and for spending on their care. Up to 75 percent of health care costs are for chronic illnesses, which can be best addressed by improved behaviors. Health care and insurance reform must provide incentives for healthy behaviors such as smoking cessation, weight reductions and chronic disease management.

 

Enact Medical Liability Reform

Frivolous and excessive litigation is driving up medical costs through burdensome medical malpractice insurance, court interference and pressure on doctors to practice so-called “defensive medicine.” 

Any credible health care reform legislation must include caps on non-economic damages, penalties for frivolous lawsuits and limited liability for products approved for use by the FDA.

And liability reform must include policies to allow broader use of experimental treatments for patients who are diagnosed as having terminal illnesses. Our citizens should not have to leave our country to receive potentially life-saving treatments. 

 

Establish Voluntary State-Federal Initiative

I’m proposing a new voluntary state-federal initiative to enable secure coverage for pre-existing conditions, broaden coverage for the uninsured, and stabilize insurance for individuals and small business workers. We must deal with risk sharing in order to address these critical issues, but we can do it without excessive new regulations or mandates. 

This initiative would be based primarily on federally funded high-risk pools. States choosing not to participate in the new federal-state initiative would still be eligible for some federal cost sharing, and they would be allowed to participate in Medicaid reforms.

 

Reform Insurance, Support Employer Coverage

Our nation’s private health insurance market is barely functioning as a result of a complex web of regulations that curtail options for consumers and prevent a real market from emerging. We must establish a vibrant health insurance market and make access to care more affordable for our employers and families. 

Key elements of insurance reform include catastrophic policies that can be purchased across state lines and making insurance more affordable through tax credits for businesses and the self-employed. 

I would also relieve regulations to allow individuals to customize and personalize their insurance coverage so that they are purchasing only the coverage they need, allowing Health Savings Accounts to be used more effectively.

 

Reform Medicaid

Finally, the costs of Medicaid are skyrocketing, creating burdens on taxpayers at both the state and federal level. I would create block grants to states to allow new ideas to emerge. If we reduce red tape and regulation, states will find new ways to serve the most vulnerable citizens.

Other budget savings and entitlement reform would cover the costs for my health care reforms. This proposal will be funded within the fiscal parameters of Cong. Paul Ryan’s Path to Prosperity, which I have endorsed.  

Our nation has had an inefficient health care financing and delivery system for a long time, but Obamacare has made it far worse. Repealing Obamacare is an imperative for the next Congressional session.

Merely repealing, however, would leave our health care system in disarray, burdened by complex regulations and lacking market forces that drive innovation and efficiency. We need a series of fundamental reforms. In 2012, we have the opportunity to elect policymakers who will reform health care without leading us down the path to a European model of government control.

We have to get it right this time.

---

Tommy Thompson is a Republican candidate for U.S. Senate.

Ray Ray Johnson

7:07 am on Saturday, June 30, 2012

Tom, repeal-absolutely! SOME of the outrages: Page 50/section 152:The bill will provide insurance to all non-U.S. residents, even if they are here illegally. Page 58 and 59: The government will have real-time access to an individual's bank account and will have the authority to make electronic fund transfers from those accounts. Page 65/section 164: The plan will be subsidized (by the government) for all union members, union retirees and for community organizations (such as the Association of Community Organizations for Reform Now - ACORN). Page 203/line 14-15: The tax imposed under this section will not be treated as a tax. (How could anybody in their right mind come up with that?) Page 241 and 253: Doctors will all be paid the same regardless of specialty, and the government will set all doctors' fees. Page 272. section 1145: Cancer hospital will ration care according to the patient's age. Page 317 and 321: The government will impose a prohibition on hospital expansion; however, communities may petition for an exception. There's more, but hey, TOM-are YOU the guy to repeal this aggregious usurpation of our freedom?

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Ray Ray Johnson

7:13 am on Saturday, June 30, 2012

Here's more, Tom: Page 425, line 4-12: The government mandates advance-care planning consultations. Those on Social Security will be required to attend an "end-of-life planning" seminar every five years. (Death counseling..) Page 429, line 13-25: The government will specify which doctors can write an end-of-life order. BUT OF COURSE, it is specifically stated that this bill will not apply to members of Congress. Members of Congress are already exempt from the Social Security system, and have a well-funded private plan that covers their retirement needs. If they were on our Social Security plan, I believe they would find a very quick 'fix' to make the plan financially sound for their future." TOM-are YOU going to vote to repeal this? Do YOU have the pull to help spead the word of the specific usurpations and tyrannies imposed on America with this worst of all possible laws? Educate the people,Tom, to what is wrong in this law and you have my vote.

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James R Hoffa

5:12 pm on Saturday, June 30, 2012

@Ray Ray -

Just curious as to what form of the law you're referencing here, as your page cites don't match with the official PUBLIC LAW 111–148 - MAR. 23, 2010 document.

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Bren

9:20 pm on Saturday, June 30, 2012

Yes, Ray Ray, could you indicate where these quotes are in HR3590? Here is a link: http://thomas.loc.gov/cgi-bin/query/D?c111:7:./temp/~c1118M1kql::

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Ray Ray Johnson

10:20 am on Sunday, July 1, 2012

This was from an analysis by Texas Judge David Kithil, in his line-item breakdown of the Obama care bill as it was presented for the Dec 2009 senatorial vote. The text has not been altered, but the structure of the text has changed in the format of the final law.

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James R Hoffa

11:36 am on Sunday, July 1, 2012

@Ray Ray -

While I'm no fan of Obamacare either, I am a fan of the truth, and the analysis of the bill that you've confided in and posted excerpts from in your commentary is mostly false. First off, it wasn't actually written by Texas Judge David Kithil, but rather by a conservative blogger named Peter Fleckenstein. Second, it analyzes an old version of the bill that was never enacted into law. Third, even under the form of the bill that it was analyzing, it still came to several false and erroneous conclusions.

In today's environment, Hoffa never trusts a secondary source of information and never relies upon another's analysis of a situation in forming my own opinion on something. Instead, Hoffa goes straight to the primary source, makes his own analysis, and only then does Hoffa come to a logical opinion / conclusion. There's plenty in the bill not to like, but we should at least be honest in our assessments - lies and deception are the tools of liberals, not conservatives.

You may want to do the same by looking at the actual public law, as it was passed, for yourself: http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf

Sources:

http://www.snopes.com/politics/medical/kithil.asp

http://www.politifact.com/truth-o-meter/article/2009/jul/30/e-mail-analysis-health-bill-needs-check-/

Jan Oldham

8:16 am on Saturday, June 30, 2012

This will absolutely not be repealed. Ignore Tommy Thompson (does a grown man still go by Tommy?) and especially ignore ignorant Ray Ray (another odd name?)

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Ray Ray Johnson

12:59 pm on Saturday, June 30, 2012

Jan, you ignorantslut, how can you deny the facts from the document itself?

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C. Sanders

12:24 pm on Monday, July 2, 2012

Jan ... Your suggestion that the views of Tommy Thompson and Ray Ray be ignored because of their name truly places you in the light of a permanent non-intellectual. You chose to make fun and dismiss others because of their name? Possibly because you don't like the connotation of your own last name ... OLD + HAM, and choose to take that resentment out on others? there is a med out there with your name on it.

mainstreet

8:56 am on Saturday, June 30, 2012

Don't hold breath! Gov Walker was supposed to be recalled right? The silent majority in this country is no longer silent. November is going to be very interesting, all across the country.

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Tosa720

9:32 am on Saturday, June 30, 2012

Go back - check "Tommy''s record from the 70's - Back then he was exposed for many unethical practices - some of the most notable were those revealed by the Milwaukee Tenant's Union . He is a puppet and always has been. His interest in this issue can be traced right back to money - that is and always has been his interest in everything he promotes or opposes. He has earned his millions from those who pull his strings - It is doubtful he even wrote the above editorial himself. he should go back to his old drinking habits and retire for good now. His opinions are no longer relevant.

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Johnny Seed

9:35 am on Saturday, June 30, 2012

Mainstreet - Trying to recall Health Care Reform is like trying to recall Walker. There were to many good points like eliminating collective bargaining for public employees and contributions to there pensions and health insurance. There are o many good things about Health care reform, most important like Walker it makes people that are on the free ride contribute reducing the burden on the rest of us.

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Jay Sykes

10:15 am on Saturday, June 30, 2012

@Johnny... Regardless of the benefits of ACA, the elimination of the 'free-ride' will not lower the financial burden of healthcare on the rest of us. Remember Obamacare is Romneycare;when you look at the actual numbers from Massachusetts the costs went up and availability of healthcare services is reduced.

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Greg

11:10 am on Saturday, June 30, 2012

I think the free ride still exists and may even have been expanded. As far as I can tell this plan taxes the middle class and gives subsidies to people making up to 400% of the poverty level.

Greg

11:21 am on Saturday, June 30, 2012

Health insurance was the last real incentive, for many, to get a job. People no longer care if they do better than their parents. Living off of your neighbor has become an accepted lifestyle. Personal responsibility is not expected and is seldom practiced.
God Bless the U.S.A.

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Bren

1:38 pm on Saturday, June 30, 2012

By whom? Do you know people who live off their neighbors, or are these apocryphal or composite individuals like Reagan's "Welfare Queen" or Paul Bunyan? ; )

http://www.brainerd.com/pbtrail/tale.html

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Randy1949

11:06 am on Monday, July 2, 2012

What a crock. Getting a job doesn't help if the job provides no health insurance, as three of mine did not. One was temporary employment (a frequently used tactic nowadays), the other two were with small businesses that 'couldn't afford' employee health coverage. They didn't pay enough to afford it on my own either.

The only personal responsibility I can practice is living as healthily as possible and hoping nothing happens. I'm starting to resent people live on chips and soda and run the costs up for the rest of us, all the time acting smug about how they have health insurance and the rest of us don't.

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Greg

11:49 am on Monday, July 2, 2012

The crock is someone that would not improve themselves enough to get a job with insurance. It's not real tough, but it does take some effort.
Wisconsin has approx. 9.4% of it's residents that are not covered by health insurance. Massachusetts is at 5.6% with Romneycare. So how much is it going to cost to get that extra 4%?
http://money.cnn.com/2011/09/13/news/economy/census_bureau_health_insurance/index.htm

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Randy1949

12:01 pm on Monday, July 2, 2012

@Greg -- the crock is that you seem to know nothing about being downsized from a professional job. You take what you can get, in an employment market that is increasingly cutthroat.

Your casual assumption that this only happens to the lazy and uneducated is infuriating.

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Greg

12:15 pm on Monday, July 2, 2012

Keep with that line of thinking, no problem Obama has you covered.

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Randy1949

12:35 pm on Monday, July 2, 2012

@Greg -- Repeal 'ObamaCare', keep up with your line of thinking, and be aware that something like an illness or economic reversal can happen to you at any time.

Unless you're independently wealth and have enough to pay for a catastrophic illness out of pocket once your insurance company drops you for actually getting sick and costing them money. In which case, you and Romney are covered.

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Greg

1:02 pm on Monday, July 2, 2012

My line of thinking was and is "Health insurance was the last real incentive, for many, to get a job." and you have yet to prove otherwise, other than calling it a crock.

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Randy1949

1:09 pm on Monday, July 2, 2012

Nonsense. Having money is the incentive for getting a job, unless you're talking about someone who would actually worsen his/her standard of living by going off assistance and working for very little money. You're forgetting that BadgerCare and BadgerCare Plus were supposed to address this, but now it's one of the things subject to 'reform'.

Jan Oldham

1:00 pm on Saturday, June 30, 2012

I want to apologize for my rude comment - there is no excuse for it....

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Dave Koven

1:28 pm on Saturday, June 30, 2012

Frivolous lawsuits have to go. Getting people to diet and exercise? Good luck. All elected officials have to have the same healthcare and social security package as everyone in their constituency. No special programs just for legislators. Greed has to be reined in. That'll get us closer to balancing the budget than almost any other program now existing. No $22 aspirins should show up on a hospital bill. No "cover your ass" unnecessary tests to be run on hospital patients or Doctor's office visitors. No insurance companies being allowed to not cover pre-existing conditions. We're all in this life together, Conservatives and Liberals. Not all people are wealthy, or even financially OK, and they never will be. This includes conservatives. Everyone, in a country as wealthy as this one, is entitled to health care. If we're "entitled" to have young men die in foreign wars that are waged for financial/greed reasons, we should be entitled to excellent healthcare as well. You control costs by putting a reasonable ceiling on what can be charged. If medical care facilities are so inefficiently run as to be unable to comply, they go under. This will be a good example of the free market at work. One more thing...lobbyists and super PACs have to go. That much money floating around does strange things to the ethics of our elected officials. Get rid of riders on bills, they only water down the true intent of the legislation. Because something is legal doesn't make it right.

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Bren

1:35 pm on Saturday, June 30, 2012

Tommy, Tommy. The malpractice insurance strawman is so 80s.

I don't see Obamney care as a "budget-busting government takeover" of the health insurance industry, I see it as depressurizing a dangerously over-inflated balloon. The cost of medical care didn't spiral out of control until businesses began offering health insurance as a recruitment perk after WWII. It's illogical to expect a for-profit industry to deny its "nature" even when managing a basic human need. Remember that Medicare was passed in the 1960s to protect elders who were being gouged or dropped by rapacious insurance companies. Things should never have been allowed to reach this pass in the first place but once again powerful lobbies in Washington inspired legislation that benefits a few to the detriment of most.

Now, because of Mitt Romney's "personal mandate" you would think that the insurance industry would be salivating and rubbing its figurative hands together thinking about all of the fresh meat being delivered to their table. The 80/20 ruling protects everyone from gouging. Here's a well-written article that explains to its readers in Oklahoma how the 80/20 will work: http://pryordailytimes.com/local/x546488832/Health-care-law-saves-consumers-20-3-million

Of course I personally support removing the middleman and gradually implementing a national healthcare plan. That would take profiteering out of the equation.

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James R Hoffa

12:02 pm on Sunday, July 1, 2012

@Bren -

"The cost of medical care didn't spiral out of control until businesses began offering health insurance as a recruitment perk after WWII."

You're right - the costs of medical care started spiraling out of control when the practice of the very socialist idea of insurance (pooling individual resources into a collective for the good of all by spreading risk over many payers) started to become the accepted norm. Things were much cheaper when everyone just paid their own bill as they utilized services.

"Things should never have been allowed to reach this pass in the first place but once again powerful lobbies in Washington inspired legislation that benefits a few to the detriment of most."

Right again - it's all the unnecessary regulation and reporting requirements mandated by Washington that have added to the bloated costs of health care in this country, but Obamacare only makes things a hundred times worse in this respect.

"The 80/20 ruling protects everyone from gouging."

Actually, the "80/20 ruling" as you call it, is nothing but a big joke. The insurance industry and its bureaucracy employs millions of people that all have to be paid a decent salary, owns buildings, vehicles, and personal property that all need to be powered and maintained, pays taxes, etc. - where do think the money for all of that comes from? I'll help you out here - policy premium payments!

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James R Hoffa

12:02 pm on Sunday, July 1, 2012

That's literally billions of dollars yearly spent on health care that doesn't go towards patient care.

And once again, Obamacare only makes this worse, not better. By imposing more regulations, oversights, reporting requirements, and all these mandated national databases, insurance providers will actually have to hire more people, build more buildings, and expend more money. Where do you think the money for this is going to come from? The health care fairy? I'll help you out once again - it's going to come from either higher taxes imposed on the working classes and/or higher premium payments! Thank you Obamacare!

"Of course I personally support removing the middleman and gradually implementing a national healthcare plan."

Grand slam home run on this one Bren! You're absolutely right for a change! We should get rid of health insurance companies all together and go back to the everyone pays their own way as they utilize services approach for a national healthcare plan, just like it was before WWII. And that's what Hoffa has always been doing anyway. Call Guinness, as once again, it's one of those rare moments where Bren and Hoffa actually concur on something!

mainstreet

1:51 pm on Saturday, June 30, 2012

Sorry but the cost of healthcare spiraling out of control started in the 70s or 80s when it became law that everyone needed to be treated. Before that it was a simple concept, insurance or self pay, or no service. Seemed right then and seems right now. Healthcare never was nor should be a right.

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James R Hoffa

2:36 pm on Saturday, June 30, 2012

@mainstreet -

You are dead on correct! I'd go even further in that insurance (a socialist concept) in and of itself has driven up the costs of healthcare. Insurance companies employ tens of thousands of people that all must be paid a decent salary, own several large buildings that must be powered and maintained, pay taxes, etc.. Where does all that money come from? Premium payments! Not to mention all of the HR and staff needed in the hospitals/clinics just to deal with the insurance companies and comply with federal and state regulations. Without all those added costs and expenses, how much would medical procedures really cost on a regular cash / pay as you go basis?

Greg

2:31 pm on Saturday, June 30, 2012

I think the next logical step is the HAA, Healthy Action Act. This will basically make massive expansion of the sin tax. It's "good for us" and it's a tax, the democrats will love it. The HAA will place a fine on any action that is not good for you. The caloric count on drive-thru menu boards, that is required by the ACA is useless. But a fine will do the trick.
The fines would be levied for such things as smoking or eating ice cream. They may also include things like extreme sports or job stress. But since the consumption actions are easier to enforce, we should start there.
Since the majority of preventable illnesses, such as heart disease or obesity, are found in the elderly and poor, I think we should help them first. The Act would outlaw the purchase or consumption of tobacco, alcohol, illicit drugs, junk food, fried food, large portions of meat, etc., by any person included in any government subsidized food or health care program.
A healthy America will save us all money and universal health care is more reactive than proactive. The down sides are there, big corporations like Coke and McDonalds will take a major hit, but they supported ALEC so tough beans. The American farmer will need to plow under his ethanol corn and plant some broccoli and bean sprouts. I imagine the HAA will cost hundreds of thousands of jobs, but for a good cause.

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Jay Sykes

5:00 pm on Saturday, June 30, 2012

The fine could be calculated on an individualized basis, based on your weight at the time of purchase. The drive-thru and the register lanes will now have scales that weight adjust the fines (read:TAX) for the price of your 'Happy Value Meal'. The Tax(read as 'fine' or 'penalty' this time) is then instantaneously reflected on the menu board pricing.

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Bob McBride

5:21 pm on Saturday, June 30, 2012

Jay, let's say one tips the scales at tubby, get's assessed a certain fine/tax/SCOTUS-designation-of-the-moment and then proceeds to order a salad. Do they get credit for that in the form of a reduction in the amount of the whatever-you-want-to-call it calculated at weigh-in?

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Greg

6:02 pm on Saturday, June 30, 2012

Tubby would pay regular price, unless the order included an extra pack of Paul Newman's best and extra bacon bits.

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Jay Sykes

7:49 pm on Saturday, June 30, 2012

Well Bob, the dis-incentives(must avoid those pejoratives:Tax/penalty/fine) will be assessed at point of purchase. The EATeR (earned at the restaurant), for ordering healthy, will be available in the form of tax credit on your 1040. So, save your receipts.

Greg, I think that HAA needs to include a special incentive for pork producers;bacon, even in 'bits', is the other white meat.

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Bob McBride

7:55 pm on Saturday, June 30, 2012

"Greg, I think that HAA needs to include a special incentive for pork producers;bacon, even in 'bits', is the other white meat."

**********************

Always with the racial stuff. Where's Queef to call you out for it when we need him?

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Greg

9:19 pm on Saturday, June 30, 2012

With bipartisan support, the HAA has been amended to reclassify all pork products as a garnish. Garnishes are not regulated by the HAA. The HAA revision also requires all pork products be renamed parsley, with the exception of pork rinds, they are still listed as a carcinogen.

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Carbon Bigfuut

2:46 pm on Sunday, July 1, 2012

Somewhere between the stand where you place your fast food order, and where you pick it up, there will be required government counsuling, to determine just why you desired these forbidden food items. Since the counsuling is a government function, it's only open from 9am-3pm, except for an hour off at lunch. No food is delivered w/o counsuling.

David Tatarowicz

3:47 pm on Saturday, June 30, 2012

Tommy --- give it a rest --- the Tea Party folks know your past and you are not going to fool them into thinking you are now an ultra conservative.

The only surprise is that you did not end your comments and plans with
Go Badgers ---- or Stick It To Them !!!!!

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Mike Knight

2:38 pm on Sunday, July 1, 2012

Obamacare isn't "unrestrained liberalism" but rather "unrestrained corporatism". It's big money for the health care industry and the millionaire stock holders.

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mm

10:33 am on Monday, July 2, 2012

I just want to no with this OBAMACARE were is our Freedom to chosse what we want isnt that what we fought for so long a go to be a country of Freedom? if they set up heath care for us its not going to be the land of the free anymore. We are turning our country into the Hunger Game if we pass Obmacare. what we should really be looking at is how to rebild are country and make more jobs and have people on gov assict get off it not have every one go no it OMG this is stupied

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Randy1949

10:52 am on Monday, July 2, 2012

@mm -- Where is your freedom now? You take what your employer offers or what you can afford if you're on your own. This doesn't change. Perhaps you don't like the individual mandate? That was originally a GOP idea, going all the way back to Bob Dole.

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