A recent federal audit has uncovered that in the first six months of 2012, $30 million was billed to Medicare for some ambulance transports later termed “mystery rides” because agents could not determine whether the patient had actually received any medical care after the purported ambulance ride.
“[They’re] mystery rides because we don’t have any information in our files, in Medicare files, to show what medical service the person received, of if they received a medical service,” said Suzanne Murrin, deputy inspector general at the U.S. Department of Health and Human Services. “Certainly, Medicare was not billed for a medical service, either on the way, where the person left or where the person arrived at.”
The audit, conducted by HHS’ inspector general’s office, dug into Medicare claims for 7.3 million ambulance transports from the first six months of 2012. Medicare pays for ambulance rides for patients to see their doctors, if there is a medical need like the patient cannot walk.
The audit found that $24 million also had been paid out by Medicare “for ambulance transports that did not meet certain program requirements to justify payment.”
“I think what we are finding is that there is a great deal of questionable billing, and there is a great deal,” Murrin said. “This is still a program that needs further action to address weaknesses.”
Philadelphia and Houston are trouble spots but investigators say Los Angeles and New York should be added to the list.
The Centers for Medicaid and Medicare Services told ABC News recently that it was “strongly committed to eliminating fraud, waste and abuse in ambulance transports” and had put several initiatives in place to fight the problem since 2012.
Deciding which American state to live in isn’t easy. It’s like entering an all-you-can-eat casino buffet with the limitation of only being able to choose one food item. Before deciding where to live and buy a home it’s important to be informed, which is why Estately has compiled this map and list of what each state has more of per capita than any other. Some are good, some are bad, but all are unique to that specific state.
The state’s health woes and poverty provide plenty of other options (highest percentage of strokes, diabetes, homeless children, etc.), but the avalanche of racist tweets during the 2012 presidential election really set it apart from the rest of the country—not counting Mississippi, which was a close second.
The Last Frontier State is unfortunate in its per capita first place finishes for violent crime, rape, and gun violence, but America can find solace in Alaska having the highest percentage of veterans per capita, and by far the most bald eagles.
Look! Up in the Arizona sky! It’s a bird. It’s a plane. It’s… an alien spaceship.? With over four UFO sightings for every 100,000 people Arizona had the most reported UFO sightings of any state. Maine was second.
Not exactly one for Arkansas’ travel brochures, but with 24 local hate groups Arkansas has the most per capita, narrowly edging out Montana and Mississippi. In addition, Arkansas is also tops for salmonella cases. Is it possible local white supremacists are keeping their chicken breasts out on the counter because they don’t want white meat mixing with dark meat chicken thighs in the fridge?
CALIFORNIA—People who brag on social media
The Golden State is tops for owning electric cars, stealing cars, eating vegetables, and producing vermouth, but you probably already know that because Californians love to brag on social media. A whopping 77% of Californians surveyed say they frequently engage in self-promotion on social media, the highest in the country.
Colorado ranks highly for fitness, regular exercise, low obesity, and other healthy metrics, but that’s only made them arrogant when it comes to the health and well being of children. The state ranks highest for children who have not been vaccinated for measles, mumps, and rubella—19.9% of kindergartners.
Sadly, Connecticut has the highest rate of breast cancer in the country—136.6 for every 100,000 women. On the plus side, the state has the highest percentage of people who go to the dentist regularly, so at least they’ll flash a great smile when they beat cancer.
DELAWARE—registered sex offenders
Delaware has the highest percentage of homes with just a landline, infrequent exercisers, political moderates, customers who don’t tip, and safe boaters (tie), but the stat that really jumped out was Delaware having the most registered sex offenders per capita.
The Sunshine State comes in first place for highest Cesarean delivery rate, fatal boating accidents, and identity theft, but “shark attacks” just really grabs your attention more. Somewhat related—we could find no stats measuring the most purchases of cassette tapes for Great White’s “Once Bitten, Twice Shy.”
There are a few pandas at zoos in D.C, San Diego, and Memphis, but Georgia’s Zoo Atlanta has the most pandasof any American zoo (5) because Lui Lui and Yang Yang are highly successful at mating.
HAWAII—people who identify as LGBT
According to a Gallup Poll, Hawaii has the highest percentage (5.1%) of people who identify as lesbian, gay, bisexual, or transgender. North Dakota had the lowest percentage—1.7%. Apparently, LGBT people prefer to live in a tropical paradise.
IDAHO—minimum wage workers
The state is tops for water use, underpaid women, and minimum wage workers. However, we were unable to find stats on fly fishing spots per capita.
ILLINOIS—people who tip
According to a recent study by Square, people in Illinois tip on 61% of transactions, the most of any state, and far more than last place Delaware—38%. However, a recent Gallup poll found 50% of people in Illinois would move to a different state if they could, which was the highest in America. Maybe the want to move to Delaware so they can ease up on the tipping.
Last year Indiana had the most players in the NBA per capita, but Louisiana took over that title this year. In place of that, Indiana can cling to its title of “Most Apathetic Voter” until 2016! In the 2014 mid-term elections a whopping72% of registered voters in Indiana stayed away from the polls, the highest in the country.
Iowa has highest percentage of people who are drug free, the fewest killers, and the most eggs produced, but that doesn’t mean the state doesn’t have a dark secret—lost chickens. According to the USDA, a stunning 27 million chickens were lost, and by “lost” they mean “rendered, died, destroyed, composted, or disappeared for any reasons except sold during the 12-month period.” The lesson—chickens who lay eggs commercially do not live forever.
When it comes to viewing pornography online, Kansans definitely clear their search history the most frequently. According to Pornhub, the state had 194 pageviews per capita, which was more than 2.5 times as much as last place Arkansas, which still has a box of adult magazines in a shed out back.
LOUISIANA—people in prison
The state puts more people in the NFL per capita than any other state. Unfortunately, the same goes for prison—one out of every 75 people in the state. That’s 13 times more than in China. Louisiana is also tops for murders, STIs, and electricity consumption (air conditioners?).
Having the highest concentration of timberland does nothing to prevent boating accidents. Maine is tops for that—one for every 24,598 people. However, Florida has the most fatal boating accidents, and far less timberland.
Massachusetts must make Mississippi sick to its collective stomach. The state is tops for Obama approval ratings, people who identify as “liberals,” energy efficiency, people with health insurance, and primary care physicians.
If you’re a turkey farmer with excellent heart health who enjoys recreational boating there’s a good chance you live in Minnesota. Nearly 15% of state residents have a boating license, it has the lowest rate of heart attacks, and it’s tops for total number of turkeys produced.
Mississippi is tops for poverty, obesity, gonorrhea, high blood pressure, infant mortality, unemployment, access to high-speed internet, people who can’t afford food, residents on food stamps, and total deaths. However, the state’s name is the most fun to spell.
MISSOURI—meth lab incidents
The Show Me State is tops for meth lab incidents (1,825 in 2012), which is 16.3% of all in America.
MONTANA—poorly paid first-year teachers
Teaching is a famously underpaid profession, but Montana really comes up short when it comes to starting salaries for teachers. First-year teachers in Montana make just $27,214, which is considerably less than neighboring Wyoming—$43,269. Montana also is home to the nation’s worst drivers, but it has to share the title with South Carolina. What it doesn’t share with South Carolina is its obesity ranking. Montana is the least obese state in the country.
NEBRASKA—high school graduates
The graduation rate in Nebraska is 93%, nearly 33% higher than last place Nevada. However, Nevada has the least amount of student loans per capita so there is some upside.
Nevada is tops for divorce, robberies, dropping out of high school, being unemployed or underemployed… you know, all the usual stuff people share on Facebook.
NEW HAMPSHIRE—student loan debt
New Hampshire has the highest student loan debt per capita of any state, as well as testicular cancer cases (7.4 per 100,000), but it does have the most amusement parks per capita, which is pretty great.
NEW JERSEY—people who don’t get divorced
Sure, a higher percentage of people are moving out of New Jersey than any other state, but those that stay can enjoy long-lasting marriages because New Jersey has the lowest divorce rate in the country.
NEW MEXICO—mental illness
The state is tops for teen births, mental illness, and aggravated assaults, but on the upside since the state has the lowest percentage of Facebook users they likely send the fewest invites to play Candy Crush.
Would America change the way it funds education if it knew that New York’s highest spending per pupil on elementary-secondary school students somehow would lead to the most lawyers per capita—8.5 per 1,000?
NORTH CAROLINA—snake bites
North Carolina has the highest rate of snake bites in America, so that kind of casts a shadow on all those NCAA basketball championships.
NORTH DAKOTA—farms / bars / golf courses
North Dakota may not have much in terms of population, but when it comes to per capita rankings the state is tops for a wide variety of things: bars, people working full time, farms, golf courses, good drivers, and more.
Texas may be more famous for executing prisoners, but Oklahoma actually executes more inmates per capita than its neighbor. Oklahoma also has the most people who don’t eat their vegetables, so maybe that’s one more reason you should eat your vegetables.
OREGON—selling cigarettes to children
Oregon is seeing the highest inbound migration of any state, but perhaps it’s fueled by people who want to send their kids to the store to them up some smokes. The state is also tops for non-medical painkiller use.
PENNSYLVANIA—listening to holiday music
According to AccuRadio, Pennsylvania streamed more hours of holiday music per capita than any other state. Meanwhile, neighboring New Jersey proved to be the most bah humbug of the bunch by streaming the least.
RHODE ISLAND—illicit drug use
Psss… want to get high? Rhode Island sure does. The state is way out in front when it comes to using illegal drugs and marijuana. in 2014, 20% of residents over 12 reported using marijuana, and 4.3% reported using illegal drugs.
SOUTH CAROLINA—bad drivers
They have to share the title with drunk driving Montana, but South Carolina is the top state for bad drivers, largely because of fatal accidents and careless driving.
SOUTH DAKOTA—concealed carry permits
They like them bigger in Tennessee, at least when it comes to their houses of worship. The state has 67 megachurches, which comes out the most per capita of any state.
With an estimated 10,000 to 20,000 pet tigers in Texas the state has more per capita than any other U.S. state. Not only that, there are more tigers in Texas than exist in the wild.
UTAH—regular church attendees
At 51%, the largely Mormon state of Utah has the highest percentage of regular church attendees in the country, and nearly three times as much as last place Vermont. Utah is also tops for Republicans—59%, non-smokers—88.8%, prostate cancer (170.6 per 100,000), and skin cancer (31.9 per 100,000).
VERMONT—craft beer production
When it comes American craft beer production, the people of Vermont have done the most to quench America’s thirst, over 15 gallons per person. Vermont is also tops for non-religious people, produce consumption, frequent exercise, museums, brain cancer (4.3 per 100,000), and safe boaters (tie).
There are plenty of Virginians who work directly for the government, but the state is also tops for private sector jobs dependent on federal contracts.
If you’d like your mail stolen or iPhone snatched or your car broken into you should move to Washington state. The state is tops for property crime and number of incidents is only increasing.
WEST VIRGINIA—deer-vehicle collisions
West Virginia comes in the unfortunate first place for fatal drug overdoses, cervical cancer, deer-vehicle collisions,heart attacks, and women without jobs. On the upside, it has the lowest percentage of people with STIs.
WYOMING—people who chew tobacco
In addition to being home to more tobacco chewers than any other state (9.1%), Wyoming has the most suicides, government workers (over 10%), registered gun owners (19.6%), and people who don’t approve of President Obama (80.7%).
Here are the 10,535 pages of ObamaCare condensed to 4 sentences
As humorous as this sounds…..every last word of it is absolutely TRUE!
1. In order to insure the uninsured, we first have to uninsure the insured.
2. Next, we require the newly uninsured to be re-insured.
3. To re-insure the newly uninsured, they are required to pay extra charges to be re-insured.
4. The extra charges are required so that the original insured, who became uninsured, and then became re-insured, can pay enough extra so that the original uninsured can be insured, which will be free of charge to them.
This, ladies and gentlemen, is called “redistribution of wealth” ,or, by its more common name, SOCIALISM, and of course the Architect Jonathan Gruber absolutely admitted it. Breathtaking coverup by the self-proclaimed “most transparent Presidency ever”.
Massachusetts Institute of Technology Professor Jonathan Gruber was, by most accounts, one of the key figures in constructing the Affordable Care Act, better known as Obamacare. He helped designed the Massachusetts health care law on which it was modeled, assisted the White House in laying out the foundation of the law, and, accordingto The New York Times, was eventually sent to Capitol Hill “to help Congressional staff members draft the specifics of the legislation.” He provided the media with a stream of supportive quotes, and was paid almost $400,000 for his consulting work.
Jonathan Gruber, in other words, knows exactly what it took to get the health care law passed.
And that’s why you should take him seriously when he says, in the following video, that it was critical to not be transparent about the law’s costs and true effects, and to take advantage of the “stupidity of the American voter” in order to get it passed:
(Via the Daily Signal.)
Here’s the full quote:
“This bill was written in a tortured way to make sure CBO did not score the mandate as taxes. If CBO [Congressional Budget Office] scored the mandate as taxes, the bill dies. Okay, so it’s written to do that. In terms of risk rated subsidies, if you had a law which said that healthy people are going to pay in – you made explicit healthy people pay in and sick people get money, it would not have passed… Lack of transparency is a huge political advantage. And basically, call it the stupidity of the American voter or whatever, but basically that was really really critical for the thing to pass….Look, I wish Mark was right that we could make it all transparent, but I’d rather have this law than not.”
This validates much of what critics have said about the health care law, and the tactics used to pass it, for years.
For one thing, it is an explicit admission that the law was designed in such a way to avoid a CBO score that would have tanked the bill. Basically, the Democrats who wrote the bill knowingly gamed the CBO process.
It’s also an admission that the law’s authors understood that one of the effects of the bill would be to make healthy people pay for the sick, but declined to say this for fear that it would kill the bill’s chances. In other words, the law’s supporters believed the public would not like some of the bill’s consequences, and knowingly attempted to hide those consequences from the public.
Most importantly, however, it is an admission that Gruber thinks it’s acceptable to deceive people if he believes that’s the only way to achieve his policy preference. That’s not exactly surprising, given that he failed to disclose payments from the administration to consult on Obamacare even while providing the media with supposedly independent assessments of the law.
But it’s particularly revealing in light of Gruber’s recently discovered comments regarding the way the law’s subsidies for health insurance are supposed to work. In a 2012 video unearthed this summer, Gruber said explicitly that the tax credits to offset coverage costs were conditioned on state participation in the law’s exchanges—a contention that the administration denies, and is at the heart of a legal challenge on its way to the Supreme Court.
Gruber, who by 2014 was making vehement arguments in support of the administration’s position, said that in the video he misspoke. That excuse was hard to believe. For one thing, he elaborated on the argument at length, and for another, a second recording surfaced soon after in which he said almost the exact same thing.
It’s even harder to believe now that he has admitted that he thinks it’s fine to mislead people if doing so bolsters the policy goals he favors. It’s really quite telling, about the law and also about Gruber. Gruber may believe that American voters are stupid, but he was the one who was dumb enough to say all this on camera.
[UPDATE] OOPS HE DID IT AGAIN… A THIRD TIME !:
The United States government’s accumulated debts have grown by more than $7 trillion – with a ‘t’ – since Barack Obama became president on January 20, 2009.
The sad milestone was revealed on July 31 by the U.S. Department of the Treasury on a ‘debt to the penny’ website that calculates the debt at the end of every business day.
On Obama’s first day in office the debt stood at $10.626 trillion. Last Thursday it reached $17.687 trillion.
America’s first 43 presidents took 223 years to rack up the country’s first $7 trillion in red ink.
Obama has duplicated that dubious achievement in less than five years and seven months.
After the same number of days in office, former President George W. Bush had increased the national debt by a comparatively paltry $2.720 trillion.
Bill Clinton’s debt load at the same point in his presidency had increased by just $1,324 trillion.
The right-leaning Cybercast News Service was first to point out that Obama had cleared the $7 trillion hurdle in added financial obligations.
During a July 2008 campaign speech in North Dakota, then-Senator Obama ripped into the Bush administration for running up the federal debt by a total of $4 billion near the end of his second term.
‘The problem is,’ he said, ‘is that the way Bush has done it over the last eight years is to take out a credit card from the Bank of China in the name of our children, driving up our national debt from $5 trillion for the first 42 presidents – #43 added $4 trillion by his lonesome, so that we now have over $9 trillion of debt that we are going to have to pay back – $30,000 for every man, woman and child.’
‘That’s irresponsible,’ Obama said then. ‘It’s unpatriotic.’
The Republican Party ripped into the president on Monday with an email blast charging that after ‘[i]gnoring warnings from all corners, Obama has one of the worst records on the federal debt in U.S. history.’
The White House didn’t immediately respond to a request for a response.
In February the nonpartisan Congressional Budget Office estimated that ‘federal debt held by the public will equal 74 percent of GDP at the end of this year and 79 percent in 2024.’
At the end of 2008, that number was just 39 per cent. At current rates of spending, by 2019 the debt will be larger than the nation’s annual GDP.
‘Such large and growing federal debt,’ the CBO warns, ‘could have serious negative consequences, including restraining economic growth in the long term, giving policymakers less flexibility to respond to unexpected challenges, and eventually increasing the risk of a fiscal crisis.’
Debt held by the public makes up about 71 per cent of the total federal debt. The rest consists of ‘intragovernmental holdings’ – government-speak for gaps in the Medicare Trust Fund, the Social Security Trust Fund, and other revolving funds.
Those lines on Uncle Sam’s balance sheet totaled $5,036 trillion at the end of last Thursday, a number that represents how far behind the government is in meeting its long-term obligations to retirees and other benefit-takers.
Government spending has skyrocketed during Obama’s time in office due to a combinations of his policies, a spendthrift Congress and recession-related automatic stabilizers like unemployment insurance that can quickly drain the Treasury.
The annual deficit – a single year’s addition to the larger debt – was $1.413 trillion in 2009, Obama’s first year in the White House. He has steadily reduced it year-on-year, and the 2014 deficit is expected to be $492 billion.
That number, however, is still larger than any other annual deficit in the history of the U.S. before he became president.
This should come as a surprise to absolutely no one. The radical Marxist-progressives (communists) took control of the democrat party some time ago. They’ve only become more emboldened with the election of Barack Obama, who was raised as a communist from birth.
With their new found leader, Barack Obama, the Socialist Party of America felt secure enough to announce the names of 70 democrats in Congress that belong to their caucus.
Other than Bernie Sanders of Vermont, who openly ran as a socialist, the rest of this lot ran as “moderate democrats.” I think it’s time we put the myth of the “moderate” democrat to bed. They are all Marxists, or Marxist leaning. They all are big government totalitarians hell-bent on destroying America, the Constitution, and our way of life. One needs no other proof than the way Congress has acted since the Marxist-democrats took control four years ago, and the tyranny that has been championed since Obama was sworn in.
Read the entire document here.
OBAMA DEFENDS REDISTRIBUTION – President Obama today heads to the liberal Center for American Progress to talk about ObamaCare and the economy. And while the president will certainly hit talking points about how Americans, one day freed of concerns over health insurance, can pursue their dreams of higher education and economic betterment, the basic message is likely to be the same one he has made in his other “major” economic addresses over the years: the need for more redistribution of wealth to deal with income inequality. Remember that while the redistributive properties of ObamaCare are causing mainstream Americans to recoil from the president and his health law, redistribution is its cardinal virtue to many on the left.
[Watch Fox: House Majority Whip Kevin McCarthy, R-Calif., discusses how the administration is attacking Republicans for their opposition to ObamaCare in the 10 a.m. ET hour]
Not paying attention – Obama has pursued his policy aims with dogged persistency since taking office and has made no secret of his central aim of shifting wealth. The surprise from many reporters at seeing millions of health insurance policies vaporized and in seeing premiums for those already covered leap astronomically indicates either massive inattention or a facile response to a story they can no longer ignore. Obama’s law turns insurance companies into vehicles for redistribution: heavily regulated, highly protected public utilities with a social-engineering mission. The fact that Obama is emphasizing this point now suggests he knows just how bad the days ahead will be for his law and his party. By hardening the resolve of the third of Americans standing with him on ObamaCare, Obama hopes to make good on his promise to have the law go into effect despite massive opposition and survive at least until the end of his term.