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President Obama Re-Elected - Page 302

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Hey guys! We'll be closing this thread shortly, but we will make an American politics megathread where we can continue the discussions in here.

The new thread can be found here: http://www.teamliquid.net/forum/viewmessage.php?topic_id=383301
JonnyBNoHo
Profile Joined July 2011
United States6277 Posts
August 17 2012 15:31 GMT
#6021
On August 18 2012 00:04 thatonekid.907 wrote:
Show nested quote +
On August 17 2012 23:55 RCMDVA wrote:

Romney put his Bain partnership shares into his IRA.

So the capital gains rate he pays on them when he takes them out is 15%.

It's not that he's rich he gets special treatment. Everyone can get an IRA. Everyone pays 15% long term cap gains in 2012.

It's that he's older than 59 1/2 years old. And his partnership shares increased in value (a lot).

There's no crazy financial / tax engineering going on that non-millionaires have access to.


Except for the fact that non-millionaires generally don't have their primary source of income come from capital gains, it generally comes from working, which is taxed at a much higher rate.

If you ignore double taxation on dividends and capital gains, then yes.
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 15:32 GMT
#6022
On August 18 2012 00:10 paralleluniverse wrote:
Show nested quote +
On August 17 2012 23:15 xDaunt wrote:
On August 17 2012 16:29 paralleluniverse wrote:
On August 17 2012 13:21 xDaunt wrote:
On August 17 2012 12:11 SerpentFlame wrote:
On August 17 2012 11:25 xDaunt wrote:
On August 17 2012 10:57 kwizach wrote:
On August 17 2012 10:36 xDaunt wrote:
Just out of curiosity, are any of you liberals/Obama supporters worried about the upcoming debates on Medicare?

Quite the opposite (notably because of the two fact-checks listed here - the truth and good policies are on Obama's side).

Politifact's articles on the Medicare cuts are precisely the kind of crap that makes them look like a hack outfit disturbingly often. I don't know in what world they can classify what Obamacare does to Medicare as not being a cut. It takes money out of the system. Period. Do the cuts directly reduce services? No. However, the cuts do reduce reimbursements to providers, which will reduce the availability of providers that are willing to take Medicare (and this has already been a problem for a number of years).

Regardless, here's the bottom-line problem for Obama. Though Paul Ryan advocated a budget with significant cuts to Medicare that are much like Obama's, Romney has not and will not. In stark contrast, not only Obama proposed significant cuts to Medicare, he has actually enacted them. If I were Romney, I'd remake the DNC ad showing Paul Ryan rolling granny off the cliff and insert Obama instead.

Romney declared Paul Ryan's budget "marvelous" in debates. He's advocated time and time again for entitlement reform. That he would not try to alter Medicare, as you seem to say, to is not the platform he's been running on for 4 years.


Are you really going to say that someone who has already cut Medicare spending is less of a "danger" to Medicare than someone who previously has advocated Medicare reform but currently proposes no cuts to Medicare and would refund the cuts made from Obamacare? I don't think anyone is going to buy that.


The Affordable Care Act cuts funds from Medicare Advantage, a pilot program designed to cut costs. Ultimately, Medicare Advantage ended up costing 12 percent more without providing higher quality care. The program involves a government subsidy of private insurers to try and encourage competition and drive down costs. It was unnecessary government involvement in the private industry that did not cut costs compared to traditional Medicare. Scaling back funds for this program, (especially for those private insurers that don't meet basic health benchmarks, where much of the savings come from) and strengthening the rest is an obvious, and long overdue solution. In fact, I believe most Republicans call this cracking down on waste.


You realize that the cuts go far beyond just the Medicare Advantage program, right? Medicare Advantage only runs in the neighborhood of $10-15 billion per year, and would only total $156 billion over the next 10 years per the CBO's June report. The vast majority of the cuts to Medicare lower Medicare's reimbursement rates to providers. This will be crippling to doctors and hospitals, who are already beginning to limit or outright refuse service to Medicare patients.

So okay, the ACA reduces some money given to private insurers, which by itself would reduce some coverage provided to seniors. Other parts of the legislation, however, strengthen Medicare by providing seniors free annual wellness visits, free preventative services, and a 50 percent discount for drugs in the Medicare "donut hole"; that is, drugs that were not covered at all under the pre-Obamacare law in the (unpaid for Bush era) Medicare Part D. So "Obamacare" removes some of the outlays to a monetarily expensive and inefficient program (Medicare Advantage) and provides it to services that actually go directly to seniors. Hardly rolling granny off a cliff.


None of these "cookies" will make up for what has been taken out of Medicare. Preventative services don't really mean shit when you're already old. You need real care and coverage, which is no longer funded as it was.

When Republicans propose to cut Medicare, Social Security, research, education, and absolutely everything that is not Defense, it's called being fiscally responsible -- saving our children from drowning in debt.

When Democrats do it, cutting spending that is no longer necessary because of Obamacare coverage, it's called gutting the safety net and leaving old and sick people out in the cold to die.


Ryan's plan and Obamacare make the same cuts to Medicare. The difference is that Ryan uses those cuts to make Medicare more fiscally sustainable over the long term, whereas Obamacare uses the money from the cuts to fund a new entitlement program. Of course, Ryan's plan is a boogeyman that is effectively dead. Obamacare was passed. Obama's gonna have some 'splainin' to do.

Which CBO report? The CBO report which says Obamacare will reduce the deficit? The one which says stimulus saved 3 million jobs? Or the one which says that Ryan's plan leaves completely unspecified how he would make it revenue neutral?

This one, which scores the repeal of Obamacare (which is another way of scoring Obamacare): http://www.cbo.gov/sites/default/files/cbofiles/attachments/43471-hr6079.pdf

How is Obamacare unsustainable? It reduces the deficit over the long term. The CBO report you links says repealing it would increase the deficit by $109 billion over 10 years. It does not support your argument, it supports mine.

I don't want Ryan's budget to be dead, I'd prefer it to be continually mocked and ridiculed for making insanely unrealistic assumptions about growth and revenue and giving no specifics on how it would be achieved.

I didn't say Obamacare was unsustainable (though I tend to think that it eventually will be). I said Medicare was.
DoubleReed
Profile Blog Joined September 2010
United States4130 Posts
August 17 2012 15:35 GMT
#6023
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 15:36 GMT
#6024
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.
RCMDVA
Profile Joined July 2011
United States708 Posts
Last Edited: 2012-08-17 15:57:16
August 17 2012 15:51 GMT
#6025
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...



If nobody was buying what Ryan/Romney was saying about Medicare...

Romney wouldn't be up +1 or +2 in Florida.

He would be down 15 points in Florida.

No sane donor would be giving Romney a dime. Obama would be cruising to another 340-200 electoral college win, and the election would be over
DoubleReed
Profile Blog Joined September 2010
United States4130 Posts
August 17 2012 16:00 GMT
#6026
On August 18 2012 00:36 xDaunt wrote:
Show nested quote +
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


I was actually referring to the "I don't agree with it, but go do it anyway" line...
kwizach
Profile Joined June 2011
3658 Posts
August 17 2012 16:02 GMT
#6027
On August 18 2012 00:36 xDaunt wrote:
Show nested quote +
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

I apologize if "facts" are partisan.

ROFL, that's rich coming from you.
"Oedipus ruined a great sex life by asking too many questions." -- Stephen Colbert
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 16:07 GMT
#6028
On August 18 2012 01:00 DoubleReed wrote:
Show nested quote +
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


I was actually referring to the "I don't agree with it, but go do it anyway" line...

That wasn't me being partisan. I was inserting my opinion about the cuts in the context of offering my analysis.
DoubleReed
Profile Blog Joined September 2010
United States4130 Posts
August 17 2012 16:20 GMT
#6029
On August 18 2012 01:07 xDaunt wrote:
Show nested quote +
On August 18 2012 01:00 DoubleReed wrote:
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


I was actually referring to the "I don't agree with it, but go do it anyway" line...

That wasn't me being partisan. I was inserting my opinion about the cuts in the context of offering my analysis.


And you clearly don't care that Romney/Ryan is campaigning with something you're against or just straight up lying. Your attitude is really frustrating and tiring.
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 17:09 GMT
#6030
On August 18 2012 01:20 DoubleReed wrote:
Show nested quote +
On August 18 2012 01:07 xDaunt wrote:
On August 18 2012 01:00 DoubleReed wrote:
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


I was actually referring to the "I don't agree with it, but go do it anyway" line...

That wasn't me being partisan. I was inserting my opinion about the cuts in the context of offering my analysis.


And you clearly don't care that Romney/Ryan is campaigning with something you're against or just straight up lying. Your attitude is really frustrating and tiring.

You're being absolutely ridiculous. First, it is unreasonable to expect either of the major party candidates (democrat/republican) to have a platform with which you're 100% in agreement. That just doesn't happen. You pick the guy who either promotes most of what you want or the most important things that you want. Second, even assuming that I was a single-issue voter when it comes to cutting Medicare, I'd still pick Romney over Obama because Obama uses the money to fund a new entitlement rather than reduce the deficit. I'd rather leave Medicare as is than keep Obamacare in place. I also think that if Romney wins, there's a good chance that he'll revisit Medicare. On the flipside, I know that Obama is not going to fix the problem, so I don't see where the alternative is.
TheTenthDoc
Profile Blog Joined February 2011
United States9561 Posts
Last Edited: 2012-08-17 17:25:47
August 17 2012 17:24 GMT
#6031
On August 17 2012 16:59 Danglars wrote:
Show nested quote +
On August 17 2012 13:21 xDaunt wrote:
On August 17 2012 12:11 SerpentFlame wrote:
On August 17 2012 11:25 xDaunt wrote:
On August 17 2012 10:57 kwizach wrote:
On August 17 2012 10:36 xDaunt wrote:
Just out of curiosity, are any of you liberals/Obama supporters worried about the upcoming debates on Medicare?

Quite the opposite (notably because of the two fact-checks listed here - the truth and good policies are on Obama's side).

Politifact's articles on the Medicare cuts are precisely the kind of crap that makes them look like a hack outfit disturbingly often. I don't know in what world they can classify what Obamacare does to Medicare as not being a cut. It takes money out of the system. Period. Do the cuts directly reduce services? No. However, the cuts do reduce reimbursements to providers, which will reduce the availability of providers that are willing to take Medicare (and this has already been a problem for a number of years).

Regardless, here's the bottom-line problem for Obama. Though Paul Ryan advocated a budget with significant cuts to Medicare that are much like Obama's, Romney has not and will not. In stark contrast, not only Obama proposed significant cuts to Medicare, he has actually enacted them. If I were Romney, I'd remake the DNC ad showing Paul Ryan rolling granny off the cliff and insert Obama instead.

Romney declared Paul Ryan's budget "marvelous" in debates. He's advocated time and time again for entitlement reform. That he would not try to alter Medicare, as you seem to say, to is not the platform he's been running on for 4 years.


Are you really going to say that someone who has already cut Medicare spending is less of a "danger" to Medicare than someone who previously has advocated Medicare reform but currently proposes no cuts to Medicare and would refund the cuts made from Obamacare? I don't think anyone is going to buy that.


The Affordable Care Act cuts funds from Medicare Advantage, a pilot program designed to cut costs. Ultimately, Medicare Advantage ended up costing 12 percent more without providing higher quality care. The program involves a government subsidy of private insurers to try and encourage competition and drive down costs. It was unnecessary government involvement in the private industry that did not cut costs compared to traditional Medicare. Scaling back funds for this program, (especially for those private insurers that don't meet basic health benchmarks, where much of the savings come from) and strengthening the rest is an obvious, and long overdue solution. In fact, I believe most Republicans call this cracking down on waste.


You realize that the cuts go far beyond just the Medicare Advantage program, right? Medicare Advantage only runs in the neighborhood of $10-15 billion per year, and would only total $156 billion over the next 10 years per the CBO's June report. The vast majority of the cuts to Medicare lower Medicare's reimbursement rates to providers. This will be crippling to doctors and hospitals, who are already beginning to limit or outright refuse service to Medicare patients.

So okay, the ACA reduces some money given to private insurers, which by itself would reduce some coverage provided to seniors. Other parts of the legislation, however, strengthen Medicare by providing seniors free annual wellness visits, free preventative services, and a 50 percent discount for drugs in the Medicare "donut hole"; that is, drugs that were not covered at all under the pre-Obamacare law in the (unpaid for Bush era) Medicare Part D. So "Obamacare" removes some of the outlays to a monetarily expensive and inefficient program (Medicare Advantage) and provides it to services that actually go directly to seniors. Hardly rolling granny off a cliff.


None of these "cookies" will make up for what has been taken out of Medicare. Preventative services don't really mean shit when you're already old. You need real care and coverage, which is no longer funded as it was.

Pretty much identical thoughts here.

PPACA says soak the DOCTORS & HOSPITALS for the treatment they provide.

From the Washington Post
Show nested quote +
The Medicare Advantage cut gets the most attention, but it only accounts for about a third of the Affordable Care Act’s spending reduction. Another big chunk comes from the hospitals. The health law changed how Medicare calculates what they get reimbursed for various services, slightly lowering their rates over time. Hospitals agreed to these cuts because they knew, at the same time, they would likely see an influx of paying patients with the Affordable Care Act’s insurance expansion.
Article also includes a pie chart for the medicare cuts

The political reasoning behind the PPACA was to rob Medicare to bring the total to under a trillion dollars (actual 1.2 trillion estimated currently). This helped its passage. The Trustees report of Social Security and Medicare invites plans to reform the program and its funding. Demonization of the Ryan plan in current dialogue is demagoguery. The program is going to die, and any attempts to reform it are compared to Republicans killing granny.



The readjustment to hospital reimbursement by and large isn't a direct cut; it comes from a variety of quality improvement strategies that should have been there in the first place. The most noteworthy one that pops to mind is that it prohibits billing Medicare/Medicaid for hospital-acquired infections that were not present at admission, but it also penalizes hospitals with too much administrative overhead and reduces reimbursement if a patient is readmitted with a condition that should have been treated in the first place, all of which are completely reasonable.

While some of the specific numbers for a few admissions are probably taking direct hits, as far as I know, that's not where the majority of the cuts come from. If it weren't the case I suspect the hospitals I worked for would have been significantly more perturbed by the act.

I'll also note that the article you quoted itself says the hospitals by and large didn't care. The situation for a lot of hospitals in poor areas right now is that they just don't get reimbursed at all for their services to uninsured patients; if those individuals had easier access to insurance (like through state insurance exchanges, which would evaporate without the ACA), they'd at least get SOMETHING.
DoubleReed
Profile Blog Joined September 2010
United States4130 Posts
August 17 2012 17:35 GMT
#6032
On August 18 2012 02:09 xDaunt wrote:
Show nested quote +
On August 18 2012 01:20 DoubleReed wrote:
On August 18 2012 01:07 xDaunt wrote:
On August 18 2012 01:00 DoubleReed wrote:
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


I was actually referring to the "I don't agree with it, but go do it anyway" line...

That wasn't me being partisan. I was inserting my opinion about the cuts in the context of offering my analysis.


And you clearly don't care that Romney/Ryan is campaigning with something you're against or just straight up lying. Your attitude is really frustrating and tiring.

You're being absolutely ridiculous. First, it is unreasonable to expect either of the major party candidates (democrat/republican) to have a platform with which you're 100% in agreement. That just doesn't happen. You pick the guy who either promotes most of what you want or the most important things that you want. Second, even assuming that I was a single-issue voter when it comes to cutting Medicare, I'd still pick Romney over Obama because Obama uses the money to fund a new entitlement rather than reduce the deficit. I'd rather leave Medicare as is than keep Obamacare in place. I also think that if Romney wins, there's a good chance that he'll revisit Medicare. On the flipside, I know that Obama is not going to fix the problem, so I don't see where the alternative is.


I didn't suggest that you were a single issue voter or that you should agree with a candidate 100%.

You don't get it, and I have no idea how to explain. Just forget it.
aksfjh
Profile Joined November 2010
United States4853 Posts
August 17 2012 17:36 GMT
#6033
Libertarians Sue to Have Romney Kicked Off Washington Ballot

As I first reported some weeks back, the Washington State Republican Party's failure to nominate a candidate for US Senate in 2010 appears to have cost them "major party" status under the letter of RCW 29A.04.086. This failure should in turn have required Mitt Romney to qualify for Washington's presidential ballot under rules and deadlines applied to "minor parties," a deadline that has long since passed.

Today the Libertarian Party of Washington State filed suit (PDF) to have Romney's name removed from the November ballot:

The suit seeks an order declaring that the Washington State Republican Party is “minor party” for purposes of the 2012 general election and directing the Secretary of State to issue ballots for the November election that do not contain the printed name of any Republican Party nominee.

Secretary of State Sam Reed's office responds that the Republicans retain major party status under WAC 434-208-130:

(1) For purposes of RCW 29A.04.086, "major political party" means a political party whose nominees for president and vice-president received at least five percent of the total votes cast for that office at the last preceding presidential election. A political party that qualifies as a major political party retains such status until the next presidential election at which the presidential and vice-presidential nominees of that party do not receive at least five percent of the votes cast.

Okay. Clear enough. But that's not what RCW 29A.04.086 actually says:

"Major political party" means a political party of which at least one nominee for president, vice president, United States senator, or a statewide office received at least five percent of the total vote cast at the last preceding state general election in an even-numbered year. A political party qualifying as a major political party under this section retains such status until the next even-year election at which a candidate of that party does not achieve at least five percent of the vote for one of the previously specified offices.

US Senate was the only applicable race in 2010, the preceding even-numbered year election, and for internal political reasons (both Dino Rossi and Clint Didier were afraid they would lose the state convention vote) the Republicans declined to officially nominate a candidate. In their suit, the Libertarian's accuse Reed of attempting to give the Republicans a "free pass," arguing that under established precedent "a WAC regulation cannot modify or alter a statute by interpretation." The Secretary of State's office requested legislation in the previous session to amend the RCW to match the WAC's redefinition of party status, but that bill failed. Thus concludes the Libertarian suit:

The subject WAC regulation purporting to redefine “major” and “minor” parties is therefor unlawful. A WAC regulation cannot change the definitions for “major” and “minor” political parties set out in the statute. The Republican Party is a “minor” political party for the 2012 election cycle, and has failed to qualify any presidential nominee for the 2012 general election ballot.

I'm not a lawyer, but the letter of the law is clear. Under the definition of "major" and "minor" parties in the RCW, Romney has not qualified for the ballot. Not that I expect a court to have the balls to kick him off, but technically, the law is on the Libertarian's side.

Source

Even if it's a blue state, would be quite embarassing if it went through.
xDaunt
Profile Joined March 2010
United States17988 Posts
Last Edited: 2012-08-17 17:37:13
August 17 2012 17:36 GMT
#6034
On August 18 2012 02:24 TheTenthDoc wrote:
Show nested quote +
On August 17 2012 16:59 Danglars wrote:
On August 17 2012 13:21 xDaunt wrote:
On August 17 2012 12:11 SerpentFlame wrote:
On August 17 2012 11:25 xDaunt wrote:
On August 17 2012 10:57 kwizach wrote:
On August 17 2012 10:36 xDaunt wrote:
Just out of curiosity, are any of you liberals/Obama supporters worried about the upcoming debates on Medicare?

Quite the opposite (notably because of the two fact-checks listed here - the truth and good policies are on Obama's side).

Politifact's articles on the Medicare cuts are precisely the kind of crap that makes them look like a hack outfit disturbingly often. I don't know in what world they can classify what Obamacare does to Medicare as not being a cut. It takes money out of the system. Period. Do the cuts directly reduce services? No. However, the cuts do reduce reimbursements to providers, which will reduce the availability of providers that are willing to take Medicare (and this has already been a problem for a number of years).

Regardless, here's the bottom-line problem for Obama. Though Paul Ryan advocated a budget with significant cuts to Medicare that are much like Obama's, Romney has not and will not. In stark contrast, not only Obama proposed significant cuts to Medicare, he has actually enacted them. If I were Romney, I'd remake the DNC ad showing Paul Ryan rolling granny off the cliff and insert Obama instead.

Romney declared Paul Ryan's budget "marvelous" in debates. He's advocated time and time again for entitlement reform. That he would not try to alter Medicare, as you seem to say, to is not the platform he's been running on for 4 years.


Are you really going to say that someone who has already cut Medicare spending is less of a "danger" to Medicare than someone who previously has advocated Medicare reform but currently proposes no cuts to Medicare and would refund the cuts made from Obamacare? I don't think anyone is going to buy that.


The Affordable Care Act cuts funds from Medicare Advantage, a pilot program designed to cut costs. Ultimately, Medicare Advantage ended up costing 12 percent more without providing higher quality care. The program involves a government subsidy of private insurers to try and encourage competition and drive down costs. It was unnecessary government involvement in the private industry that did not cut costs compared to traditional Medicare. Scaling back funds for this program, (especially for those private insurers that don't meet basic health benchmarks, where much of the savings come from) and strengthening the rest is an obvious, and long overdue solution. In fact, I believe most Republicans call this cracking down on waste.


You realize that the cuts go far beyond just the Medicare Advantage program, right? Medicare Advantage only runs in the neighborhood of $10-15 billion per year, and would only total $156 billion over the next 10 years per the CBO's June report. The vast majority of the cuts to Medicare lower Medicare's reimbursement rates to providers. This will be crippling to doctors and hospitals, who are already beginning to limit or outright refuse service to Medicare patients.

So okay, the ACA reduces some money given to private insurers, which by itself would reduce some coverage provided to seniors. Other parts of the legislation, however, strengthen Medicare by providing seniors free annual wellness visits, free preventative services, and a 50 percent discount for drugs in the Medicare "donut hole"; that is, drugs that were not covered at all under the pre-Obamacare law in the (unpaid for Bush era) Medicare Part D. So "Obamacare" removes some of the outlays to a monetarily expensive and inefficient program (Medicare Advantage) and provides it to services that actually go directly to seniors. Hardly rolling granny off a cliff.


None of these "cookies" will make up for what has been taken out of Medicare. Preventative services don't really mean shit when you're already old. You need real care and coverage, which is no longer funded as it was.

Pretty much identical thoughts here.

PPACA says soak the DOCTORS & HOSPITALS for the treatment they provide.

From the Washington Post
The Medicare Advantage cut gets the most attention, but it only accounts for about a third of the Affordable Care Act’s spending reduction. Another big chunk comes from the hospitals. The health law changed how Medicare calculates what they get reimbursed for various services, slightly lowering their rates over time. Hospitals agreed to these cuts because they knew, at the same time, they would likely see an influx of paying patients with the Affordable Care Act’s insurance expansion.
Article also includes a pie chart for the medicare cuts

The political reasoning behind the PPACA was to rob Medicare to bring the total to under a trillion dollars (actual 1.2 trillion estimated currently). This helped its passage. The Trustees report of Social Security and Medicare invites plans to reform the program and its funding. Demonization of the Ryan plan in current dialogue is demagoguery. The program is going to die, and any attempts to reform it are compared to Republicans killing granny.


The readjustment to hospital reimbursement by and large isn't a direct cut; it comes from a variety of quality improvement strategies that should have been there in the first place. The most noteworthy one that pops to mind is that it prohibits billing Medicare/Medicaid for hospital-acquired infections that were not present at admission, but it also penalizes hospitals with too much administrative overhead and reduces reimbursement if a patient is readmitted with a condition that should have been treated in the first place, all of which are completely reasonable.

While some of the specific numbers for a few admissions are probably taking direct hits, as far as I know, that's not where the majority of the cuts come from. If it weren't the case I suspect the hospitals I worked for would have been significantly more perturbed by the act.

I'll also note that the article you quoted itself says the hospitals by and large didn't care. The situation for a lot of hospitals in poor areas right now is that they just don't get reimbursed at all for their services to uninsured patients; if those individuals had easier access to insurance (like through state insurance exchanges, which would evaporate without the ACA), they'd at least get SOMETHING.


It doesn't matter what the cuts are purported to be for. They are still cuts to the hospitals that take money out of the system, which is the critical bottom-line issue. Also, keep in mind that many providers are already in a rough spot when it comes to treating illegal aliens. This isn't going to help.
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 17:49 GMT
#6035
It's being reported that Hillary was offered the VP slot and turned it down.



Secretary of State Hillary Clinton was pressed by her husband and a top Obama aide to consider replacing Vice President Joe Biden just a couple of weeks ago, claims the author of the New York Times bestseller "The Amateur."

But Clinton, exhausted from four years of international travel and diplomacy, shrugged off the suggestion to lay the groundwork for her own 2016 bid with her husband at her side, according to author Ed Klein.

"As recently as a couple of weeks ago, the White House was putting out feelers to see if Hillary Clinton was interested in replacing Joe Biden on the ticket," Klein told Secrets. "Bill Clinton, I'm told, was urging his wife to accept the number two spot if it was formally offered. Bill sees the vice presidency as the perfect launching pad for Hillary to run for president in 2016."

He made similar comments Thursday night to CNBC's Larry Kudlow. The White House has dismissed speculation of a Clinton for Biden swap despite a string of recent gaffes by the vice president.

Klein, whose book is No. 2 on the NYT bestseller list, quoted unnamed sources who revealed that top Obama aide Valerie Jarrett put the vice presidency on the table during a lunch with the secretary of state. "The lunch was ostensibly about policy issues, but the subject of the vice presidency came up," he said. "Hillary told Valerie Jarrett that she was not interested in running as Obama's vice president."

Klein said she cited two reasons: If elected, she didn't want to be tied to Obama's left-leaning politics in her own 2016 bid. Second, if Obama loses, she would be tarred as a loser.

New on Friday: Klein told Secrets that Bill Clinton is working fast to get a 2016 Hillary for President campaign up and going. His sources told him that Clinton is sniffing around for a major donor to offer up a jet for the potential candidate to use. Also, Klein said, Clinton is looking for somebody to take over the Clinton Global Initiative "so that he can devote his full time to Hillary's campaign."

Klein has sources deep in the Clinton camp and he said that they said she is eager for a rest followed by a makeover. "She clearly is exhausted. She needs to lose weight and get her energy back for a four-year slog."

He added that Obama has never talked to Clinton about replacing Biden. The reason, said Klein, is that Obama was afraid she would turn him down and Bill Clinton would leak the snub to the media.

Source.

I'm not surprised by either that she was offered the spot or that she turned it down.
Vega62a
Profile Blog Joined December 2010
946 Posts
August 17 2012 17:50 GMT
#6036
On August 18 2012 00:36 xDaunt wrote:
Show nested quote +
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.



First things first: Neither Obama nor his health care law literally cut a dollar amount from the Medicare program’s budget.


http://www.politifact.com/truth-o-meter/statements/2012/aug/15/mitt-romney/mitt-romney-said-barack-obama-first-history-rob-me/

Don't try to pretend like you are even remotely interested in facts. You didn't even try to fact check your claim.
Content of my posts reflects only my personal opinions, and not those of any employer or subsidiary
aksfjh
Profile Joined November 2010
United States4853 Posts
August 17 2012 17:52 GMT
#6037
On August 18 2012 02:49 xDaunt wrote:
It's being reported that Hillary was offered the VP slot and turned it down.

Show nested quote +


Secretary of State Hillary Clinton was pressed by her husband and a top Obama aide to consider replacing Vice President Joe Biden just a couple of weeks ago, claims the author of the New York Times bestseller "The Amateur."

But Clinton, exhausted from four years of international travel and diplomacy, shrugged off the suggestion to lay the groundwork for her own 2016 bid with her husband at her side, according to author Ed Klein.

"As recently as a couple of weeks ago, the White House was putting out feelers to see if Hillary Clinton was interested in replacing Joe Biden on the ticket," Klein told Secrets. "Bill Clinton, I'm told, was urging his wife to accept the number two spot if it was formally offered. Bill sees the vice presidency as the perfect launching pad for Hillary to run for president in 2016."

He made similar comments Thursday night to CNBC's Larry Kudlow. The White House has dismissed speculation of a Clinton for Biden swap despite a string of recent gaffes by the vice president.

Klein, whose book is No. 2 on the NYT bestseller list, quoted unnamed sources who revealed that top Obama aide Valerie Jarrett put the vice presidency on the table during a lunch with the secretary of state. "The lunch was ostensibly about policy issues, but the subject of the vice presidency came up," he said. "Hillary told Valerie Jarrett that she was not interested in running as Obama's vice president."

Klein said she cited two reasons: If elected, she didn't want to be tied to Obama's left-leaning politics in her own 2016 bid. Second, if Obama loses, she would be tarred as a loser.

New on Friday: Klein told Secrets that Bill Clinton is working fast to get a 2016 Hillary for President campaign up and going. His sources told him that Clinton is sniffing around for a major donor to offer up a jet for the potential candidate to use. Also, Klein said, Clinton is looking for somebody to take over the Clinton Global Initiative "so that he can devote his full time to Hillary's campaign."

Klein has sources deep in the Clinton camp and he said that they said she is eager for a rest followed by a makeover. "She clearly is exhausted. She needs to lose weight and get her energy back for a four-year slog."

He added that Obama has never talked to Clinton about replacing Biden. The reason, said Klein, is that Obama was afraid she would turn him down and Bill Clinton would leak the snub to the media.

Source.

I'm not surprised by either that she was offered the spot or that she turned it down.

The claim in the article is unsubstantiated and made by the author of this riveting read about Obama:

Think you know the real Barack Obama? You don’t—not until you’ve read The Amateur

In this stunning exposé, bestselling author Edward Klein—a contributing editor to Vanity Fair, former foreign editor of Newsweek, and former editor-in-chief of the New York Times Magazine—pulls back the curtain on one of the most secretive White Houses in history. He reveals a callow, thin-skinned, arrogant president with messianic dreams of grandeur supported by a cast of true-believers, all of them united by leftist politics and an amateurish understanding of executive leadership.

In The Amateur you’ll discover:


Why the so-called “centrist” Obama is actually in revolt against the values of the society he was elected to lead
Why Bill Clinton loathes Barack Obama and tried to get Hillary to run against him in 2012
The spiteful rivalry between Michelle Obama and Oprah Winfrey
How Obama split the Kennedy family
How Obama has taken more of a personal role in making foreign policy than any president since Richard Nixon—with disastrous results
How Michelle Obama and Valerie Jarrett are the real powers behind the White House throne


The Amateur is a reporter’s book, buttressed by nearly 200 interviews, many of them with the insiders who know Obama best. The result is the most important political book of the year. You will never look at Barack Obama the same way again.


Seems legit.
xDaunt
Profile Joined March 2010
United States17988 Posts
August 17 2012 17:53 GMT
#6038
On August 18 2012 02:50 Vega62a wrote:
Show nested quote +
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


Show nested quote +

First things first: Neither Obama nor his health care law literally cut a dollar amount from the Medicare program’s budget.


http://www.politifact.com/truth-o-meter/statements/2012/aug/15/mitt-romney/mitt-romney-said-barack-obama-first-history-rob-me/

Don't try to pretend like you are even remotely interested in facts. You didn't even try to fact check your claim.

You may want to read up further where I call Politifact on its bullshit and direct everyone to the CBO report that proves them wrong.
farvacola
Profile Blog Joined January 2011
United States18855 Posts
August 17 2012 17:56 GMT
#6039
On August 18 2012 02:50 Vega62a wrote:
Show nested quote +
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.


Show nested quote +

First things first: Neither Obama nor his health care law literally cut a dollar amount from the Medicare program’s budget.


http://www.politifact.com/truth-o-meter/statements/2012/aug/15/mitt-romney/mitt-romney-said-barack-obama-first-history-rob-me/

Don't try to pretend like you are even remotely interested in facts. You didn't even try to fact check your claim.

This is where he shrugs off your source because of the monolithic liberal media bias inherent in all things that disagree with his perspective. And by the way xDaunt, the bottom line with the healthcare debate is not a mere dollar value, as the current system runs so inefficiently that some "cuts" are actually systemic improvements.
"when the Dead Kennedys found out they had skinhead fans, they literally wrote a song titled 'Nazi Punks Fuck Off'"
Vega62a
Profile Blog Joined December 2010
946 Posts
Last Edited: 2012-08-17 18:01:08
August 17 2012 17:58 GMT
#6040
On August 18 2012 02:53 xDaunt wrote:
Show nested quote +
On August 18 2012 02:50 Vega62a wrote:
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.



First things first: Neither Obama nor his health care law literally cut a dollar amount from the Medicare program’s budget.


http://www.politifact.com/truth-o-meter/statements/2012/aug/15/mitt-romney/mitt-romney-said-barack-obama-first-history-rob-me/

Don't try to pretend like you are even remotely interested in facts. You didn't even try to fact check your claim.

You may want to read up further where I call Politifact on its bullshit and direct everyone to the CBO report that proves them wrong.


You mean this report where it concludes that medicare outlays are reduced by 700 billion not in benefits, but in payments to insurance companies due to savings provided by the health care law? Essentially, the implementation of the act would reduce the NEED for additional money being provided to medicare, and therefore reduces FUTURE outlays by 700 billion? One of the two CBO reports which were cited in the article?

Did you even read it?


On August 18 2012 02:56 farvacola wrote:
Show nested quote +
On August 18 2012 02:50 Vega62a wrote:
On August 18 2012 00:36 xDaunt wrote:
On August 18 2012 00:35 DoubleReed wrote:
You really think people will buy that Ryan/Romney are on their side for Medicare? That's ridiculous.

xDaunt, your harsh partisanship can be really tiring...

When people find out that Obama cut $700 billion Medicare, then yes, they will be. I apologize if "facts" are partisan.



First things first: Neither Obama nor his health care law literally cut a dollar amount from the Medicare program’s budget.


http://www.politifact.com/truth-o-meter/statements/2012/aug/15/mitt-romney/mitt-romney-said-barack-obama-first-history-rob-me/

Don't try to pretend like you are even remotely interested in facts. You didn't even try to fact check your claim.

This is where he shrugs off your source because of the monolithic liberal media bias inherent in all things that disagree with his perspective. And by the way xDaunt, the bottom line with the healthcare debate is not a mere dollar value, as the current system runs so inefficiently that some "cuts" are actually systemic improvements.


Nono, he shrugged off my source by misinterpreting the CBO article it linked to.
Content of my posts reflects only my personal opinions, and not those of any employer or subsidiary
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