OK Health Care Freedom Amendment, State Question 756

Who Is Obama wrote:

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I agree and I certainly wouldn't never knock anyone for getting an education.
I know your in the City...I had a girlfriend in Tulsa once way back then and she had an Iranian husband, that's why I asked if you "ever" lived in Cincinatti, because I think she said she was from there. I worked in a resturaunt with her at the time.
By the way, as you probably know now, me and my boys and the rest of the family try and think up ideas for business investments. One of our ideas was a resturaunt of a peculiar nature that I haven't seen done yet.

Well you sure need money to start out with because you won't get a loan for it. Then location is like the most important thing. I would only recommend a stand along building because more often or not restaurants in strip mall's don't make it. Nor franchises unless you can own a lot of them.

And another thing is when you first start out none of the food suppliers will sell to you on credit until you have been in business for a year.

And if you start a business that needs a liquor license your insurance which you must have is really high.

And most of the restaurants that I know of that have crashed and burned got behind on their sales tax. Every one of them.

And when you open a restaurant you better be prepared to do every job in the place. Because even after years and years you will have to cook many times. So you have to be prepared to cook everything on your menu timely so no matter what a party orders it is all out to the table at the same time and hot to boot. Or your going to find yourself looking at a empty restaurant.

I know how the oil industry is...boom and bust, in a never ending cycle. I had the opportunity to go that route but Dad discouraged it...and besides I'm more of a free wheeler, hands on, boss mentality type. My son almost went into drafting after studying it in vo-tech but didn't because his teacher told him there were no jobs and a lot more people qualified than he would be just starting out. So I got him educated and hired him in my business. He should have his own in business in a few years...and then maybe I'll take his place if I can handle a desk job.

I do the bookwork for my business nightly which is why I am on here. But I have a trust account and in my business no errors are acceptable. I do have an accountant do the payroll and all that...but I don't trust nobody with the money end. Too complicated and too easy to make mistakes. I keep perfect books. My honesty is what costs the hell out of me in taxes.

I'm sorry to hear of your condition. You seem like a very nice lady and I'm amazed how much fight you have in you. I guess Meat keeps you on your toes..LoL!

Justaminute wrote:

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When you first came on this board we talked about it. I first went to Texas Tech. Where my hubby had his first restaurant. Then we moved to Tulsa when we opened another restaurant. I went to Tulsa Jr. college. And when that guy burned our restaurant down there, we moved to OKC and I finished up at OU. I had all my basics and could go straight into the accounting degree portion.
My own daughter graduated a couple of weeks ago from Central State in Edmond because OU doesn't have her degree in Human Resources. And to get her master's she has to leave the State because no University in OK offer a Master's in Human Resources.
You know your trying to be cute because I told you at least 4 or 5 times why we owned a restaurant. A Petroleum Engineer graduating right when the oil went bust.
Your just trying to stick your 2 cents in when you have heard this all before.

No I was not trying to be cute. I did not know exactly where you went to college. You sounded like you were looking down at many people that for what ever reason did not go to college for what ever reason or started and quit. I have know some that started and quit and ended up doing great in life. I have known some the went to college and did nothing with their life. I have know some that quit college and later went back. But yes I was making a point by mentioning your husband. My point is just because of a college education or where you go to college your life may not go in the directions of your plans. But just because you may have gone to college or where you went does not always make you the better person. Not that I am saying your husband is not a good person. You also mentioned how you got set up in your first restruant and you also mentioned what you did to get your education.

Justaminute wrote:

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Well you sure need money to start out with because you won't get a loan for it. Then location is like the most important thing. I would only recommend a stand along building because more often or not restaurants in strip mall's don't make it. Nor franchises unless you can own a lot of them.
And another thing is when you first start out none of the food suppliers will sell to you on credit until you have been in business for a year.
And if you start a business that needs a liquor license your insurance which you must have is really high.
And most of the restaurants that I know of that have crashed and burned got behind on their sales tax. Every one of them.
And when you open a restaurant you better be prepared to do every job in the place. Because even after years and years you will have to cook many times. So you have to be prepared to cook everything on your menu timely so no matter what a party orders it is all out to the table at the same time and hot to boot. Or your going to find yourself looking at a empty restaurant.

LoL! Yes...hot to boot...your very right! I just warned a buddy of mine starting a small resturaunt about that sales tax. Of course to me...perfect books and making sure your on the right side of the law is a must. Never co-mingle funds and know where your at dollar wise all the time.

I worked several years in the industry and I loved it. I liked working with the people and customers. I enjoyed the hustle bustle. It just didn't pay enough...not even for management positions. But I learned a great deal and can credit a lot of my success in those early years.

Have you ever hired any of the older ladies to cook?

TAMARA wrote:

<quoted text>No I was not trying to be cute. I did not know exactly where you went to college. You sounded like you were looking down at many people that for what ever reason did not go to college for what ever reason or started and quit. I have know some that started and quit and ended up doing great in life. I have known some the went to college and did nothing with their life. I have know some that quit college and later went back. But yes I was making a point by mentioning your husband. My point is just because of a college education or where you go to college your life may not go in the directions of your plans. But just because you may have gone to college or where you went does not always make you the better person. Not that I am saying your husband is not a good person. You also mentioned how you got set up in your first restruant and you also mentioned what you did to get your education.

I don't know when you started reading by we were talking of jobs in the future..and manufacturing was pretty dead. I did not say were you go but what you get your degree in makes a big difference in getting a job right after school. But a lousy degree from Podunk U will probably leave you in debt without a job right now.

I remarked that President Obama said that jobs in the future required a college degree and if you weren't a college student you at least had to go to a trade school.

But going straight from high school to work in a good job is pretty much next to impossible. Not next to impossible it is impossible.

And most of those college students that graduated and didn't go to work, usually they the had a bad degree choice. Because even before you enroll they can tell you the outlook for jobs in your majors. Even in this recession and even living in Oklahoma if you have a good major they are hot after you. But you won't believe how many get a simple business degree, or a history degree, or a music degree or an arts degree. Or some humanity degree. Even a degree in management information systems will leave you sitting on the sidelines.

Because of all my kids friends and my friends kid's friends and most went to University and if they graduated you know what they majored in and what they were doing and pretty how much money they were making. So it's no surprise the degrees that you have to work your rear end off to get pays the most and gets the first job offers and usually multiple job offers even in this lousy economy, because all of these graduated in a lousy economy and I'm seeing first hand how well they are doing or not.

Who Is Obama wrote:

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LoL! Yes...hot to boot...your very right! I just warned a buddy of mine starting a small resturaunt about that sales tax. Of course to me...perfect books and making sure your on the right side of the law is a must. Never co-mingle funds and know where your at dollar wise all the time.
I worked several years in the industry and I loved it. I liked working with the people and customers. I enjoyed the hustle bustle. It just didn't pay enough...not even for management positions. But I learned a great deal and can credit a lot of my success in those early years.
Have you ever hired any of the older ladies to cook?

Yes, and they never last. If they were line cooks in the last year we don't even interview frankly. You really have to be fit because we are busy pretty much of the time except between 3pm and 4pm and 3 am and 4 am. Frankly anybody over fifty except the most energetic don't make it there except for a month then they are shot and we never have to fire them, they quit all on their own.

Our managers make good money and our top waitresses make around 60 thousand a year. We have turnover only on our 3rd shift. Because you usually have to love to work that shift or you get sick of it in about 6 or 7 months. Third shift cooks are hard to keep because usually they have a drug or alcohol problem.

Would you like to hear my idea? You can critic it all you want and I wont take it personally. I know there are holes in it...but it never had a whole lot of thought put into it..mainly because resturaunts to me are high risk..especially new ventures. This is more of a play with your money kind of deal.

I figured that much about the older ladies. Some can cook real good but cant handle the hours...and that is something I put into consideration.

You have probably watched this before but it is a great reminder and will be posted everyday now until November 6th, 2012 or The SCOTUS throws Obamacare out, which ever happens first. This puts Obama's healthcare details in a better light. Time is getting short so remember vote early and vote often!

The Democrat Party produced a television ad falsely purporting to show Rep Paul Ryan pushing grandma off the cliff, by opposing ObamaCare.

A couple of San Antonio doctors have responded with an effective ad to counter this injustice with the actual truth. See the ad produced by Drs Jane Hughes and Kris Held
http://www.youtube.com/embed/PJ-p29xEM0s

Who is Obama

Yea, I'll listen to you but I've got to warn you unless your are as rich as Hal Smith that has a big stake in the Restaurant business just looking to invest it really risky. Because he has had as many losers as he had winners, when you are getting into the restaurant business only to play with your money, you might as well go to a casino.

To make a big splash in the restaurant business in a big way fast, you need millions to invest in a brand new building with all the bells and whistle and tons of advertising in TV time and a fairly good menu in a fairly visible location that will cost you big bucks before you even build. I'm talking about 2 million at the least for the location and a medium size restaurant will set you back another 2 million.

If you want to start out the cheapest you can go for is a pizza place. Because it's way cheap to put out a pizza. But know you really need an excellent product and still the chances you will fail are really high.

Usually if you don't have the money to make a big splash, you get a previous restaurant location and work your but off and build word of mouth reputation as much as your advertising. That takes at least 5 years of you working 7 days a week, because you have to be open 7 days a week because you can't trust an employee to keep the quality up it's an owner or 2 owners, 3 owners always fight and usually break up in a year. And if your a non working investor up need to be prepared to put up the costs for at least a year with someone who has an excellent idea and the ability to follow thru. Because you know, there is no body to call in sick too, and the minute you find yourself closing your doors just lead to a closing them more and more and your done.

Because you can really lose your shirt in the restaurant business fast. Because competition is fierce.

Because if you don't have the volume, you are buying food really expensive. You don't get to go to Sam's you got to buy from the food companies and the price you pay is based on how much you buy from them. If you don't start building volume from about 6 months after the door opens you might as well give it up.

Packing Heat wrote:

A couple of San Antonio doctors have responded with an effective ad to counter this injustice with the actual truth. See the ad produced by Drs Jane Hughes and Kris Held
http://www.youtube.com/embed/PJ-p29xEM0s

Why do these two ophthalmologists Dr. Held and Dr. Hughes want to get rid of Obamacare?

“America’s elderly population is expected to reach 72 million by 2030, more than double the number in 2000,” she says.“Consequently, age-related eye diseases, including cataracts, diabetic retinopathy, glaucoma and age-related macular degeneration are expected to increase from 28 million in the United States in 2011 to 43 million by 2020. However, the number of U.S. ophthalmologists isn’t expected to increase over the next 20 years.

What happens if the number of customers doubles but the providers decrease?

The price of their services goes up. It’s simple economics.

Most of their new customers will be using Medicare to pay for their care.

What does the future with Obamacare look like?

Then, starting between 2015 and 2017, this data on quality and efficiency will be directly tied to reimbursement.“At that time, Medicare will be required to pay all physicians, in the fee-for-service part of Medicare, on the basis of quality and efficiency gains,” says Dr. Rich.“So, if you’re outside two standard deviations and have no quality, you get a big penalty in your payments the next year. If you achieve quality but do it inefficiently, you get a smaller penalty. And if you achieve quality and do so efficiently, you’ll get a nice bonus, above fee-for-service. This is a very powerful tool to make physicians look at their outcomes and the efficiency with which they attain them.”

So why are they pushing seniors to be scared of Obamacare?

If your good at your job and are efficient you will get a nice bonus above the fee-for service.

Efficiency and quality of care are not measured now by Medicare and they wouldn’t be if there was no Obamacare. That means more money for them. More patients with no quality control or measurement on how efficient they are is just stop the Ophthalmologist for overcharging for their services. That’s it.

http://www.revophth.com/content/c/31361/

Yes Meat, everytime you post your video, I will be posting a reply.

And to reinforce the message why these 2 Ophthalmologists, Dr. Held and Dr. Hughes would like to see an end to Obamacare:

More patients with no quality control or measurement on how efficient they are is nothing to stop the Ophthalmologist from overcharging for their services. That’s it.

And to go along with the Ophthalmologist post, what about other Doctors:

In medicine in general, many young physicians out of training¬—close to 40 percent—and about half of practicing cardiologists, have decided to sell their practices and become employed by hospitals.

The salaries at which they’re employed are a little higher than what they’d get in private practice, without the costs and overhead.” Dr. Rich says what makes this possible for hospitals is the fact that hospitals collect 44 percent more reimbursement for a procedure or test performed by a physician they employ compared to the reimbursement received by physicians who perform the same service in their own private practice.

One reason ophthalmologists likely won’t be employed by hospitals in large numbers is that there’s actually not much in it for the hospital.

“A typical cardiologist generates about $2.4 million per year for a hospital in tests and admissions, while an ophthalmologist is one of the lowest revenue generators: under $800,000 per year,” says Dr. Rich.“On one hand, an ophthalmologist might say,‘That’s too bad, because it would be nice to get rid of the hassles of running a business.’

In case you haven't noticed many doctors in private practice in Oklahoma are now under the hospitals wings.

My doctor is. Now, I can look at the results of any test that I have had at the Doctors lab online. I can also make an appointment online as well as cancel it.

Also the results of the blood test the Doctor has room to note anything he wants to tell me or change my medicine. And they have it noted what pharmacy I use.

That is the efficiency that Obamacare is going for.

Now when my doctor would like me to see a specialist, all the specialist has to have is my code number, and he can access all my blood tests as well as any other hospital test that I have had as well as x-rays of MRI's etc. No more carrying records to a specialists office.

That is to cut down on duplications in testing.

Also if you have to go to a hospital all they will need is your access code even if you are in another state.

That could save your life too.

One of the complications I have from my multiple sclerosis is Optical Hypertension. I have to see an ophthalmologist now and regularly for the rest of my life.

This is what they project for the future of Ophthalmology under Obamacare:

Ophthalmologists who have technicians can be efficient through strategic scheduling and they have a good patient flow. However, in that practice the ophthalmologist still needs to see every patient. An integrated eye-care delivery model, in contrast, brings together the Os, working as a team: ophthalmologists; optometrists; ophthalmic technicians and opticians.

This model, Dr. Durfee found, can be very efficient, high-tech and cost-effective. In this model, each professional works in the area of care he’s licensed and trained for, in an atmosphere of mutual respect for the skills of each profession.

Also, lower priority patients, such as those needing routine eye examinations, may not have to be seen by the ophthalmologist and consequently the care will cost less.”

Ophthalmology may already be moving in this direction, says Dr. Ramsey.“According to the academy survey, while only 28 percent of ophthalmologists reported employing an optometrist in 1994, that number has been steadily rising, and it’s now 50 percent,” she says.“Further, 58 percent of young ophthalmologists, in practice for five years or less, employ an optometrist. The economic drivers for health-care reform seem headed in the direction of integrated care.”

What is the another avenue for an Ophthalmologist to make even more money?

“I’d encourage ophthalmologists to consider the traditional private practice model, as opposed to being employed by a hospital or medical system,” he says.“When you control all the variables in your office, you have a greater ability to maneuver when all these future changes come down.

Having an ownership in an ambulatory surgical center will be essential, as it gives you income from the facility fee as well as the professional fee. And you’ll need control over the practice, because things like efficiency and volume will become more important.

The future of hospitals and doctors under Obamacare is already being anticipated because of efficiency and quality of care. For everyone not just seniors on Medicare.

The switch is specialty hospitals and surgical centers.

When my husband had his back surgery the hospital and the surgical center were owned by neurosurgeons who do back surgeries in these two locations, one in NW OKC and SW OKC.

Most of the surgeries are out patient, you have the surgery and go home the same day, but if you have to be hospitalized, they do that too.

One half of the hospital is shared by doctors who do sleep studies and other cardiac testing but the only heart surgeries they do is pace makers but they have an ICU that they have if complications from surgery for the back or the pace maker require it.

It was a very friendly and busy system.

Meat

In case your wondering how I learned so much on the eye doctor issue; remember my post on university education and my husband's friend:

One of our friends two children: The son is going to be an ophthalmologist and his daughter is a regular M.D. but hasn't decided on a specialty yet.

We've discussed Obamacare numerous times. Neither one is intimidated about it at all. They are still going to be rich. Even if we go to Universal care.

Also my husband's friend besides his two children, his two sisters, one a doctor and one a dentists practice in Germany with socialized medicine. You should see their houses. Just what you would expect a doctors house to look like in the US.

It's sad that your party has gone after Obamacare, after all, originally it was a Republican idea. But now you can't lay claim to it, like all of the other things that are good for the middle class.

Justaminute,

Would you say that the government is more or less acting as an insurance company with obamacar?

Like a woman not taking the time to study a mate or who refused in the time to study the mate and ends up marrying the mate and then finds out her chosen husband is a deadbeat or an abuser, so are people choosing the side of communistic liberalism so far from the American ideal, and they don't even know it.

Carefully choose your responses. Remember I'm always two or three steps beyond your cookie-cutter replies.

Reality wrote:

Like a woman not taking the time to study a mate or who refused in the time to study the mate and ends up marrying the mate and then finds out her chosen husband is a deadbeat or an abuser, so are people choosing the side of communistic liberalism so far from the American ideal, and they don't even know it.
Carefully choose your responses. Remember I'm always two or three steps beyond your cookie-cutter replies.

I understand your point of view.

Having said that...should we not provide healthcare for those who cannot pay for it?

Justaminute wrote:

The future of hospitals and doctors under Obamacare is already being anticipated because of efficiency and quality of care. For everyone not just seniors on Medicare.
The switch is specialty hospitals and surgical centers.
When my husband had his back surgery the hospital and the surgical center were owned by neurosurgeons who do back surgeries in these two locations, one in NW OKC and SW OKC.
Most of the surgeries are out patient, you have the surgery and go home the same day, but if you have to be hospitalized, they do that too.
One half of the hospital is shared by doctors who do sleep studies and other cardiac testing but the only heart surgeries they do is pace makers but they have an ICU that they have if complications from surgery for the back or the pace maker require it.
It was a very friendly and busy system.

I donot know what clinic plan you are with. Mercy clinics are own by Doctors. But you can go on line and do the same as you are doing with your Doctor. But some of the doctors we see are out side the Mercy system. And the ones outside the systems so far can not pull up each others info.
But we have seen tell signs that for seniors on medicare that it is not going to be as easy to get the best of the best of care unless your are already established within the system. If your are not living medicare I would say you need to quit bragging what a good deal it will be. You know the Old Saying "YOU get what you pay for"? Will that very much applies to medical as well! It also applies to health insurance and now and in the past!

Any further discussions with you "Just'an'Idiot" of the pros and cons of Obamacare are useless. The Supreme Court of the United States is very close to throwing that chinese-clusterfuck to the curb and the sooner the better. With that said, let's get to your very most urgent issue that I have continuously pointed out, "your hatred for rich people." Finally after exhausting senseless arguments with you, you've finally admitted income inequality is the issue of the day that is not being addressed.

YOU, Just'an'Idiot wrote on post #20106:
"Nor does your plan address income inequality." How does any plan address income inequality? That's the big issue of the day. To many are leaving the middle class where they used to be. I think you need to do some research on why the chronically poor are that way. I know you can almost get a whole degree in Sociology on that topic alone.

Who Is Obama wrote on post #20108 and correctly so:
Pure communism is the only plan I know of that does this.(Addresses Income Inequality)
But knowing that, income inequality is usually by choice, where some people just don't care to be rich...and education, where people don't get the education and training needed for whatever reason, and also economics...jobs just may not be available because of economic conditions...like now. I don't need a degree in Sociology to tell me what is obvious. I don't personally need to implement nothing. People are already considering the idea. Ideas start somewhere...what are yours? Spend more money educating people for jobs that are not there? Tax the rich till they all leave? Continue spending money on entitlements for nothing in return? What are your ideas? Do you have any? If you need to point at flaws there is no shortage of flaws to point at right now in the current entitlement program. Why don't you show me a solution...you seem to think degrees make someone smart...demonstrate it.

Here is what I think, I don't need a degree in Sociology to tell me what is obvious either! You are a Liberal Hack of the worst kind just like your "Apostle Obama" you dolt!

Remember when that Marxist Barack Hussein Obama went off the Tele-Prompter in his speech, saying that Democrats don’t begrudge success that’s “fairly earned,” but then couldn't resist expressing his personal point of view to ad-lib his prepared speech with his own words and revealed more about himself than he probably wanted?

Compare his remarks as prepared for delivery:
Now, we’re not doing this to punish these firms or begrudge success that’s fairly earned. We don’t want to stop them from fulfilling their responsibility to help grow our economy.

Compared to his actual remarks as he actually delivered them:
We’re not, we’re not trying to push financial reform because we begrudge success that’s fairly earned. I mean, I do think at a certain point you’ve made enough money. But, you know, part of the American way is, you know, you can just keep on making it if you’re providing a good product or providing good service. We don’t want people to stop, ah, fulfilling the core responsibilities of the financial system to help grow our economy.
http://www.youtube.com/watch...

He should have stuck with the Tele-Prompter. This Marxist Minded Moron doesn’t get to decide when people have “made enough money!” Neither do Liberals or you!
In fact, that’s the worst kind of Marxist statement and point of views for any world leader of any Civilized Nation could ever make you ignorant dolt!

Furthermore, the responsibility of an entrepreneur isn’t to “grow our economy,” core or otherwise. It’s to grow his own economy. In a properly regulated capitalist system, the natural tension of self-interests creates economic growth through innovation and efficient use of capital and resources.

Put simply, a free people work for themselves, not for the damn government.
Barack Hussein Obama and Liberals seem to have a serious problem understanding that concept.