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Old 02-03-2008, 05:12 PM   #181 (permalink)
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Originally Posted by XBGMER View Post
Reba, I read somewhere on internet, His wife had trouble with health medicare insurance, she cheated and owe it. she need to fix it before his husband running for US president. But I don't want to see him sit the THRONE of the white house above us.
I have never read anything that says Hilary Clinton cheated medicare insurance and she owe it. If her husband have health problems.. I am sure he can afford to pay doctors. He can't possibly be on medicare or medicaid. But remember some of the stroies print like that not very speific facts.
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Old 02-04-2008, 02:16 PM   #182 (permalink)
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More about Hillary's health insurance plan:

Quote:
Clinton May Garnish Wages to Achieve Universal Health Care
By Susan Jones
CNSNews.com Senior Editor
February 04, 2008

(CNSNews.com) - Will Sen. Hillary Clinton garnish the wages of people who can afford health insurance but refuse to buy into her universal health care plan? Maybe.

The Democratic presidential hopeful tried to duck the question Sunday, when ABC's George Stephanopoulos asked her about wage-garnishing three times. But she didn't rule it out.

Clinton on Sunday described universal health care as "a core Democratic value and a moral principle, and I'm absolutely going to do everything I can to achieve that."

The campaign of Sen. Barack Obama is warning voters that Clinton's plan forces everyone to buy insurance, even if they can't afford it. "And if they cannot afford it, then the question is what are you going to do about it? Are you going to fine them? Are you going to garnish their wages?" Obama asked Clinton at one of their debates.

Clinton, pressed on the issue Sunday during her appearance on ABC's "This Week," said people will be able to afford her plan because she would limit premiums to a "low percent of your income."

According to Clinton, "about 20 percent of the people who don't have health insurance in America today could well afford it," despite its "exorbitant" cost. "So what we've got to do is have shared responsibility. Everybody has to pay something, but, obviously, on a sliding scale."

Stephanopoulos tried again: "And I still haven't heard, if people can afford it and they don't buy the insurance, will their wages be garnished under your plan? Will they have to pay fines?"

Clinton told Stephanopoulos "there are a number of ways" of getting people to enroll in her universal health care plan. "I think you can automatically enroll people, and you will then say you've got to be part of this."

She added that Congress is sure to "have some ideas" about it as well. "But if you don't start with universal health care, if you don't say everybody's going to be in the system, we'll never get there," Clinton said.

Pressed a third time on the wage-garnishing question, Clinton said, "we will have an enforcement mechanism -- whether it's that (wage garnishing) or it's some other mechanism through the tax system or automatic enrollments."

Clinton said the "key point" is to implement universal health care. She said the mechanism by which it is achieved -- "going after people's wages, automatic enrollment...whatever the mechanism is, is not as important as...the fundamental commitment to universal health care..."

Clinton insisted that she will not force people to buy health insurance they can't afford: "There will be mechanisms to enable everyone to afford it. We have costed this out, and we will be able to achieve it," she insisted....
Clinton May Garnish Wages to Achieve Universal Health Care -- 02/04/2008
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Old 02-04-2008, 02:40 PM   #183 (permalink)
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Well, too earlier to see like that, I prefer to see her's new system about health plan, if doesn't sounds like bad then would be acceptable but... I just want see if her's plan would work, it's new to us.

Don't think so quickly to against her, just like try out for her new plan, if we don't like her plan then can be overturn or something like that. Health is more important in my opinion, even many low income don't afford and medicaid/medicare aren't 100% effective, I'm employee at retail store and health insurance is so expensive then I had turn it down.

For her's plan, it would require vote from congress, even she cannot make on her own without vote and sign into law.
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Old 02-04-2008, 03:04 PM   #184 (permalink)
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... I'm employee at retail store and health insurance is so expensive then I had turn it down....
That's the point. If Hillary's plan is accepted, you won't be allowed to turn it down. You will be forced to accept it and pay for it.
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Old 02-04-2008, 03:06 PM   #185 (permalink)
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Quote:
Originally Posted by Reba View Post
That's the point. If Hillary's plan is accepted, you won't be allowed to turn it down. You will be forced to accept it and pay for it.
And that's scary.
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Old 02-04-2008, 04:41 PM   #186 (permalink)
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That's the point. If Hillary's plan is accepted, you won't be allowed to turn it down. You will be forced to accept it and pay for it.
Like my post, it's too earlier to said but Hillary's plan is new to us.

I'm not scared about her, plus she would levied more taxes on rich people, such as celebrities and restore the middle class, that means middle class would do anything as rich people does. I don't worried because I'm not rich man, that what I found from info on newspaper.

Wait and see... I'm more side with Liebling.
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Old 02-04-2008, 04:58 PM   #187 (permalink)
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Like my post, it's too earlier to said but Hillary's plan is new to us.

I'm not scared about her, plus she would levied more taxes on rich people, such as celebrities and restore the middle class, that means middle class would do anything as rich people does. I don't worried because I'm not rich man, that what I found from info on newspaper.

Wait and see... I'm more side with Liebling.
Hillary's forced health insurance is not for rich celebrities; it's for middle class people. Middle class people will be forced to pay for this insurance, like it or lump it. People working in stores, restaurants, gas stations, and other small businesses will be forced to pay. No choice. That's her plan.
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Old 02-04-2008, 05:42 PM   #188 (permalink)
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Originally Posted by Reba View Post
Hillary's forced health insurance is not for rich celebrities; it's for middle class people. Middle class people will be forced to pay for this insurance, like it or lump it. People working in stores, restaurants, gas stations, and other small businesses will be forced to pay. No choice. That's her plan.
What if someone could not afford the health plan, then what?
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Old 02-04-2008, 05:58 PM   #189 (permalink)
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What if someone could not afford the health plan, then what?
Yeah, that's what I would like to know as well. Obviously forcing someone won't work because that person won't still have enough money to buy insurance.

I would like to have system where everyone will have one through taxes.

But this will tell me which one is more important to Americans, have tons of money or life.

I chose the latter. After all, who cares if I can't afford a really nice fancy car because my taxes goes to help people who need it the most. Have a decent car is enough after all I know not everyone is lucky.
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Old 02-04-2008, 07:08 PM   #190 (permalink)
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Originally Posted by Reba View Post
Hillary's forced health insurance is not for rich celebrities; it's for middle class people. Middle class people will be forced to pay for this insurance, like it or lump it. People working in stores, restaurants, gas stations, and other small businesses will be forced to pay. No choice. That's her plan.
On her statement, it said if people who make enough or alot of money and doesn't want to buy insurance, it isn't existing for me because I'm on low wage job and insurance was affected to large of my income, maybe 30% or more for insurance, even insurance is so expensive at my company but it does offers better in other companies. If so then I would be broke or hard to save because I had alot spent on needs, even some wants. If I'm really get better job in near future then I would can afford insurance as must because everything are risk and dangerous without insurance.

However, she said that would make limit premiums to low percent of income, that would fine with me if price are better and cheaper than existing companies offers.

Again, speaking of turned down, I was talk about existing insurance right now, not at her because I don't know about her plan would be so.
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Old 02-04-2008, 08:34 PM   #191 (permalink)
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is there something wrong with my grammar??? Geez..

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Originally Posted by GarnetTigerMom View Post
I have never read anything that says Hilary Clinton cheated medicare insurance and she owe it. If her husband have health problems.. I am sure he can afford to pay doctors. He can't possibly be on medicare or medicaid. But remember some of the stroies print like that not very speific facts.
GarnetTigerMom, Oh no, I didnt hold against hillary Clinton. I talked about Obama's wife.
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Old 02-04-2008, 09:08 PM   #192 (permalink)
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What if someone could not afford the health plan, then what?
Hillary's plan is that it will be taken out of your paycheck.
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Old 02-04-2008, 09:53 PM   #193 (permalink)
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is there something wrong with my grammar??? Geez..

GarnetTigerMom, Oh no, I didnt hold against hillary Clinton. I talked about Obama's wife.
Oh,, alright.. I was lost lol and went "huh?" lol thanks for clearing it up.
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Old 02-04-2008, 10:12 PM   #194 (permalink)
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And that's scary.
This has always been Hillarys tactic. That is why everyone was so angry when she tried to put her health care plan in to effect when she was 1st lady. She tried to do it with no input from the voters or legislators. Just her WILL against the peoples. She has always been about control and dominance. She wants power and thats all she has ever wanted. She rode into office on the coat tails of her husband. She didn't divorce that gigolo who couldn't keep his member in his pants, because she NEEDED him! She needed to use his sorry butt to get into office. I have no use for a woman who can't even allow her own daughter to call her at work because she's so busy that the school has to contact her daddy the PRESIDENT because the poor little girl is afraid it will make her mom mad to disturb her. Is this the kind of HUMAN we want in the highest office of our land?
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Old 02-04-2008, 10:16 PM   #195 (permalink)
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This has always been Hillarys tactic. That is why everyone was so angry when she tried to put her health care plan in to effect when she was 1st lady. She tried to do it with no input from the voters or legislators. Just her WILL against the peoples. She has always been about control and dominance. She wants power and thats all she has ever wanted. She rode into office on the coat tails of her husband. She didn't divorce that gigolo who couldn't keep his member in his pants, because she NEEDED him! She needed to use his sorry butt to get into office. I have no use for a woman who can't even allow her own daughter to call her at work because she's so busy that the school has to contact her daddy the PRESIDENT because the poor little girl is afraid it will make her mom mad to disturb her. Is this the kind of HUMAN we want in the highest office of our land?

How would you know what her daughter feelings are? Only she can tell that to people herself. I thnk she seems to be doing fine. But yes, Bill Clinton did drop his pant down to Monica or any other women. But Hilary did stand by him and denfese him for his poor mistakes. I am sure lot of men out there do cheat on their wife and it take time for the wife to forgive her husband if they plan to make the marriage last. I think every marriage couple will have some marriage problems which will be a long hard roads to work it out.
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Old 02-04-2008, 10:28 PM   #196 (permalink)
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This has always been Hillarys tactic. That is why everyone was so angry when she tried to put her health care plan in to effect when she was 1st lady. She tried to do it with no input from the voters or legislators. Just her WILL against the peoples. She has always been about control and dominance. She wants power and thats all she has ever wanted. She rode into office on the coat tails of her husband. She didn't divorce that gigolo who couldn't keep his member in his pants, because she NEEDED him! She needed to use his sorry butt to get into office. I have no use for a woman who can't even allow her own daughter to call her at work because she's so busy that the school has to contact her daddy the PRESIDENT because the poor little girl is afraid it will make her mom mad to disturb her. Is this the kind of HUMAN we want in the highest office of our land?
Have u been married?

How do u know their daughter is too aftraid of her mom? Is it okay for Bush's duaghters to get drunk and party while their daddy in the office?
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Old 02-04-2008, 10:33 PM   #197 (permalink)
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What if someone could not afford the health plan, then what?
Probably the same thing as what happens now with the Social Security and Medicare "insurance contribution" that is withheld from your paycheck. Does the IRS accept the excuse, "I can't afford to pay SS and Medicare"? Nope. If you work, you pay.
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Old 02-04-2008, 10:42 PM   #198 (permalink)
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How would you know what her daughter feelings are? Only she can tell that to people herself. I thnk she seems to be doing fine. But yes, Bill Clinton did drop his pant down to Monica or any other women. But Hilary did stand by him and denfese him for his poor mistakes. I am sure lot of men out there do cheat on their wife and it take time for the wife to forgive her husband if they plan to make the marriage last. I think every marriage couple will have some marriage problems which will be a long hard roads to work it out.
A "mistake" is one thing. Any one can make an error in judgment. But repeated errors are done on purpose. If Hillary doesn't have the respect of her husband she can't keep the respect of the people. As to her daughter, those were her own words one day at school when she was having a problem and the nurse asked her if they should contact her mom and she said, "No you better contact my dad, because my mom's away". And I will NEVER for get the sarchastic disdainful remark Hillary herself made, when asked about being away from home so much and all the work involved in politics and she said, "I suppose I could stay at home and make tea and cookies with my daugther?" It wasn't her words but the sarcastic way she said it that let you know that she thought stay at home moms were beneath contempt. The following quote does nothing to give you the idea of the tone in her voice. But I heard her when she said it.

"I've done the best I can to lead my life," Hillary said about her high-powered lifestyle in an interview at the time. "I suppose I could have stayed home and baked cookies and had teas."

The comment caused Republicans and others to complain that she was belittling stay-at-home moms. She ended up baking her chocolate chip cookies as an apology of sorts.

Here is her cookie recipie. I would be careful however. Many people who have worked for Hilary have ended up committing "apparent suicides". No one knows why it's so stressful working for them. Perhaps these cookies are more than what they appear.

Hillary Clinton's Chocolate Chip Cookies

SUBMITTED BY: Lois Berres PHOTO BY: Anne C.
"This is the recipe for Hillary Clinton's Chocolate Chip Cookies. "
SERVINGS & SCALING
Original recipe yield: 7 dozen
US METRIC

About scaling and conversions
INGREDIENTS

* 1 1/2 cups all-purpose flour
* 1 teaspoon salt
* 1 teaspoon baking soda
* 1 cup shortening
* 1 cup packed brown sugar
* 1/2 cup white sugar
* 1 teaspoon vanilla extract
* 2 eggs
* 2 cups rolled oats
* 2 cups semisweet chocolate chips

number of stars

READ REVIEWS (31)

* Review/Rate This Recipe
* Save To Recipe Box
* Add to Shopping List
* Add a Personal Note
* Post a Recipe Photo
* Post a Favorite Food List
* Create a Menu

DIRECTIONS

1. Preheat oven to 350 degrees F (180 degrees C). Brush baking sheets lightly with vegetable oil.
2. Combine flour, salt and baking soda on waxed paper.
3. Beat together shortening, sugars and vanilla in large bowl with electric mixer until creamy. Add eggs and beat until light and fluffy.
4. Gradually beat in flour mixture. Stir in rolled oats and then chocolate chips.
5. Drop batter by rounded teaspoonsfuls onto baking sheets. Bake for 8-10 minutes or till golden. Cool cookies on sheets for 2 minutes. Remove to wire racks to cool completely.
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Old 02-04-2008, 10:54 PM   #199 (permalink)
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Have u been married?

How do u know their daughter is too aftraid of her mom? Is it okay for Bush's duaghters to get drunk and party while their daddy in the office?
While I don't like to see any one get drunk, at least they didn't carry on their behavior in the oval office while their daddy was on the phone discussing troop deployments like Clinton did. I guess if Hillary is elected and she needs to have a blow job while discussing troop deployments, at least she'll probably have the "blower" commit "suicide" later so they don't save an item of her clothing with any evidence on it.

See the following list:
Whitewater Body Count
All the President's Men
Actually, many of these people had no connection to Whitewater, but are tied in to other Clinton scandals. Some may really have been suicides.
Dead:
Vince Foster
His 20 July 1993 death was initially ruled a suicide, but is under investigation by Special Prosecutor Starr. There are still a lot of unanswered questions concerning Foster's death.
Luther "Jerry" Parks
In Little Rock on 26 September 1993, Jerry Parks, whose company provided security for Clinton's presidential campaign and transition headquarters, was ambushed and killed by at least three bullets fired at close range from a 9mm semi-automatic pistol as he was driving home.

Now the dead man's son, Gary Parks, charges that his father, who ran American Contract Services Inc., was killed "to save Bill Clinton's political career."

Interviewed in the London Telegraph, the younger Parks said "my dad was working on Clinton's infidelities for about six years, starting in the campaign around 1983," and had compiled two name-and-photo-filled files on Mr. Clinton that he kept hidden in his bedroom.

Shortly before he was killed, Mr. Parks Little Rock home was broken into. Not only were the phone lines severed and security system dismantled, but Jane Parks, Mr. Parks' widow, says the pair of Clinton files turned up missing and "must have been stolen."

(25 March 1994 Washington Times)

Kathy Ferguson and Bill Shelton
Kathy Ferguson, former wife of the Arkansas state trooper that is being sued along with President Clinton for sexual harrasment by Paula Jones died from a gunshot wound to the right temple early Thursday, 12 May 1994. It is currently being investigated as an apparent suicide. She was apparently moving out of her boyfirend's home, as her bags were packed. (AP) Though Kathy was already divorced at the time of the 1991 sexual harrasment incident, she may have been aware of details of her husband's activities at that time, or she may have known of other earlier incidents.

Arkansas police officer Bill Shelton was found dead on the grave of Mrs. Ferguson on 12 June 1994 wiht a suicide note next to the body. A bullet had entered behind his right ear. (The Economist)

Suzanne Coleman
Suzanne had an affair with Clinton when he was Attorney General in Arkansas. On 15 February 1977, she "committed suicide" with a gunshot to the back of the head. No autopsy was performed, and she was seven-and-a-half months pregnant with Clinton's child.

Herschel Firday
On 1 March 1994, he died in a small plane crash. Mr Firday was a member of Clinton's campaign finance committee and head of a large Arkansas law firm. He was landing in a drizzle at dusk at his own airfield.
Dr. Ronald Rogers
On 3 March 1994, Dentist Ronald Rogers, who was about to meet with a British journalist, died in another small plane crash as he flew from Dallas to Denver. The plane reported electrical problems at 22:30 near the Texas-Oklahoma border. It crashed in clear weather 40 miles south of where it dropped off radar.
Jon Walker
On 15 August 1993, Jon Walker died when he fell from the top of the Lincoln Towers building in Arlington, VA. He had been an investigator for the Resolution Trust Corporation (RTC). In that capacity in March of 1992, he had contacted the Kansas RTC regional office for information concerning ties between Whitewater, Madison Guaranty, and the Clintons. (The Economist)
Stanley Huggins
On 23 June 1994, he was found dead in Delaware, reportedly from viral pneumonia. He had headed a 1987 examination into Madison Guaranty's loan practices and produced a large report which has not been released. (The Economist)
C. Victor Riser III
The national finance co-chairman of the Clinton for President campaign, C. Victor Riser III, was killed in a plane crash in July 1992.
Paul Tully
The Democratic National Committee policial director, Paul Tully, died from unknown causes in his hotel room in Little Rock in September 1992. No autopsy was performed.
Florence Martin
Ms. Martin was shot three times in the head on Monday, 31 October 1994. All I have about this is from a news post.
Danny Casolaro
Correction: Danny Casolaro was investigating the Justice Department's stealing of PROMIS from INSLA W when he was murdered on 9 August 1991. Apparently some of the more extreme conspiracy theories have the two connected through BCCI and the Contras. [Can anyone tell me why I was told that he was "investigating drug and gun running in Arkansas" and died in July 1992?]

Calvin Walraven
The informant who testified against former Surgeon General Jocelyn Elder's son in a cocaine trafficking trial died of a shotgun wound to the head 10 days after the trial. It was ruled a suicide.
Injured:
L. J. Davis
The reporter who wrote an April 4 article for the New Republic concerning Whitewater was attacked in Arkansas on 14 February 1994, but survived head injuries, though some of his papers concerning his investigation into Whitewater were stolen, including a "list of contacts," and a "critical document." Based on a mysterious phone call he received before the beating, he suspects that his modem transmission of his story was intercepted (ie. that his phone was tapped).

Davis is a contributing editor for Harper's magazine and does free-lance writing for many publications. A transcript of an interview with him was posted to the net.

The article, "The Name of Rose," which provides an excellent overview of politics and corruption in Arkansas is available from the Electronic Newsstand.
Murdoch
A New York Post reporter who was assaulted in Little Rock while he was there collecting information on a story he wrote about Whitewater.
Gary Johnson
Gary Johnson is a lawyer who lived next door to Gennifer Flowers in the Quapaw Towers appartment building. On 26 June 1992, he was severly beaten to the point that his splean had to be removed. (The Economist)
Dennis Patrick
After having tens of millions of dollars that he did not own traded through his account at Lasater & Co., he has survived three attempts on his life. He has now spoken to FBI agents and Fiske's taskforce.
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Old 02-04-2008, 10:56 PM   #200 (permalink)
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Have u been married?

How do u know their daughter is too aftraid of her mom? Is it okay for Bush's duaghters to get drunk and party while their daddy in the office?
And when my first husband was unfaithful to me, I hung his butt out to dry! Then I married a decent man who could keep his vows!
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Old 02-04-2008, 11:36 PM   #201 (permalink)
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Have u been married?

How do u know their daughter is too aftraid of her mom? Is it okay for Bush's duaghters to get drunk and party while their daddy in the office?
For one thing, We are not there to witness it in real person to person. You don't have to be married to know how the relationship is. Marriage to me is just a piece of paper. But I do know what it like to have a long long relationship. So, As for Bush twins daughters,, they are the one getting themselves in trouble and getting caught. So that not really our problems. If Chelsea is afarid of her mom, the meida would have printed her behavior. But so far I have not seen any of that proof.
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Old 02-05-2008, 02:20 AM   #202 (permalink)
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For one thing, We are not there to witness it in real person to person. You don't have to be married to know how the relationship is. Marriage to me is just a piece of paper. But I do know what it like to have a long long relationship. So, As for Bush twins daughters,, they are the one getting themselves in trouble and getting caught. So that not really our problems. If Chelsea is afarid of her mom, the meida would have printed her behavior. But so far I have not seen any of that proof.
We do know about the profiles of abused women though. And Hillary, inspite
of her outward show of strength, is an abused woman who will not be able to deal with the more wicked people in this world. The following is part of the psychological profile of an abused woman and how that relates to Hillary.

Out of Her League
After all, if Hillary couldn’t stand up to her testosterone-driven, megalomaniacal, narcissistic husband all these years, it is impossible to believe that she will ever be able to stand up to the same kind of man in the world arena – especially those who give not a fig for her leftwing political correctness and who see her as a puppet for bad guys – a mere plaything in the world of hardball politics.

Even to this day, she defends her husband’s indefensible behavior. In responding to Bill’s intemperate outburst at Chris Wallace for questioning him about why he didn’t “connect the dots” vis-à-vis Al Qaeda’s attacks on the U.S. during his eight years in office, she said, "I'm certain that if my husband and his national security team had been shown a classified report entitled 'Bin Laden Determined to Attack Inside the United States,' he would have taken it more seriously than history suggests it was taken by our current president and his national security team."

But we know that Bill Clinton saw that report and, even more damaging, we know that Hillary knows that he saw it!

Abused Women Always Rationalize
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Old 02-05-2008, 05:49 AM   #203 (permalink)
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Originally Posted by Byrdie714 View Post
No...

If he was African-American--he wouldn't be running for President. Secondly, he is an American who happens to be black, not African.

African-American means that you were born in Africa and immigrated to the United States. He was never born in Africa.
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The U.S. Senate Historical Office lists him as the fifth African American Senator in U.S. history, the third to have been popularly elected, and the only African American currently serving in the Senate.
Barack Obama - Wikipedia, the free encyclopedia
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Old 02-05-2008, 05:57 AM   #204 (permalink)
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I am surprised and sad to see most posts here is focus on their past background, race, sex including picture of Obama, Clinton, with US flag etc instead of consider their experience/policial knowledge skills and plan for their people and country like what I said in previous posts that those situation got me and my hubby wondering why Americans see after their past background, race and sex... after saw their answer to Reporter's questions over Obama last week at World Jounral News TV.


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Old 02-05-2008, 06:12 AM   #205 (permalink)
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What exactly does that mean?
Cultural behavior like habit way of person type who was brought up in different cultural background where their family come from.

Some people said that Obama act like white, not black. I can see their point and try to say in previous post that Obama has a white mother who raised him in her own habit way.

I know some Muslims who acts like German because their parents are Muslim and German because they prefer to like be German, not Muslim. I know the difference mentality between Muslim and German and know straight way that it's German way, not Muslim way. It does the same with UK and German children as well. Their mentality are too different due cultural background/behavior where they grew up.

All what I said is: Obama is Obama, period.

I personally find Obama is a nice and friendly man and like his personality.

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Old 02-05-2008, 06:17 AM   #206 (permalink)
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for provide this link.

Here is link and plus 40 American comments why I support Hillary's health insurance plan.

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Ten Reasons Why American Health Care Is so Bad

Of all the countries surveyed in a recent poll, Americans were the least likely to report relative satisfaction with their health care. Here are ten major ways our system is failing us.

Ezra Klein | November 2, 2007 | web only

Earlier this week, Rudy Giuliani released a radio ad directly engaging the health care debate. "I had prostate cancer five, six years ago," begins the ad. "My chance of surviving prostate cancer, and thank God I was cured of it, in the United States? Eighty-two percent. My chance of surviving prostate cancer in England? Only 44 percent under socialized medicine."
Unsurprisingly, Giuliani's statistics are a straight lie resulting from a basic mathematical error. The Annenberg Fact Check Project wrote, "We tracked down the source of that number, which turns out to be the result of bad math by a Giuliani campaign adviser, who admits to us that his figure isn't 'technically' a survival rate at all. Furthermore, the co-author of the study on which Giuliani's man based his calculations tells us his work is being misused, and that the 44 percent figure is both wrong and 'misleading.'" The Giuliani campaign, demonstrating their traditional fidelity to truth and accuracy, have said they will continue using the statistic.

But the basic question Giuliani poses should be central to the presidential campaign: How good is American health care? The developed world is full of alternative models, fully functioning structures that can be viewed as little experiments, the outcomes of which should inform our policies. If our system outperforms its competitors, than we should amplify what sets us apart and pushes us ahead. If we under-perform, we should take a hard look at whether our model really is superior. And luckily, we have the data.

Indeed, we have brand new data. The Commonwealth Fund just released a broad survey collecting health care attitudes and experiences from patients in Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States. Here are summaries of some of the findings:

1. We spend the most. We spend more than any other country in the world. In 2005, our per capita -- so, per person -- spending was $6,697. The next highest in the study was Canada, at $3,326. And remember -- that's "mean" spending, so it's the amount we spend divided by our population. But unlike in Canada, about 16 percent of our population doesn't have insurance, and so often can't use the system. These facts should set the stage for all numbers that come after: Every time you see a data point in which were dead last, or not leading the pack, remember that we spend twice as much as any of our competitors.

2. We don't pay doctors according to the quality of their care. One of the first questions is "percent of primary care practices with financial incentives for quality" -- in other words, how many doctors are paid, in part, according to the quality of the care they deliver. In the United Kingdom, the number is 95 percent. In Australia, it's 72 percent. The U.S. scores lower than anyone else, at 30 percent. Similarly, electronic medical records -- which both increase the quality of care and lower its cost -- have 89 percent penetration in the U.K., 79 percent in Australia, 98 percent in the Netherlands, and 28 percent in America. On both these metrics, we perform miserably.

3. Our wait times are low because many of us aren't getting care at all. It's true, Americans do have short waits for non-elective surgeries. Only 4 percent of us wait more than six months. That's more than in Germany and the Netherlands, but considerably less than the Canadians (14 percent) or the Britons (15 percent). But our high performance on the waiting times only account for individuals who get the care they need. Our advantage dissipates when you see the next question, which asks how many patients skip care due to cost. And here, America is far worse than anywhere else.
In just the past year, a full 25 percent of us didn't visit the doctor when sick because we couldn't afford it. Twenty-three percent skipped a test, treatment, or follow-up recommended by a doctor. Another 23 percent didn't fill a prescription. No other country is even close to this sort of income-based rationing. In Canada, only 4 percent skipped a doctor's visit, and only 5 percent skipped care. In the U.K., those numbers are 2 percent and 3 percent. Few of our countrymen are waiting for the care they need, that much is true. But that doesn't mean they're getting it quickly. Rather, about a quarter of us aren't getting it at all.

Indeed, 19 percent of Americans were unable, or had serious problems, paying medical bills in the last year. Comparatively, no other country was even in the double digits. This is part of why we perform well on the waiting-times metric. In other countries, the disadvantaged wait longer for their care, and so show up in the data tracking wait times. In our country, they disappear from that measure, because they never get the care at all. You don't wait for what you're not receiving. So their wait times show up as "zero," when they should really be something akin to infinite. And would you prefer to wait four months for your surgery, or never get it at all?


4. Most of us don't have a regular physician. One might expect, given what we pay, that our care would at least be more central and convenient. But it's not so. Of everyone surveyed, Americans were the least likely to report a doctor or general practitioner they routinely saw. As a result. Americans are the most likely to say their doctor doesn't know important information about their medical history, which has obvious implications for care quality, medical errors, etc.

5. Our care isn't particularly convenient. Nor is medical service more convenient for Americans to access. On such questions as whether your doctor has early morning hours, evening availability, or weekend slots, we're not trailing the pack, but we're not in the lead, either. On evening hours, for instance, we lag behind Australia, Canada, Germany, and New Zealand. On same day appointments, Only 30 percent of Americans report that they can access a doctor on the very day they need one, as opposed to 41 percent of Britons and 55 percent of Germans. And a full 67 percent of Americans -- more than in any other country -- say it's difficult to get care on nights, weekends, or holidays with resorting to the emergency room, where care is costlier and, if your injury is not grievous, less efficient.

6. Our doctors don't listen to us. But maybe the amount we're paying comes in customer service -- maybe our doctors spend more time with us, are more reassuring, are more attentive to our cases. After all, we basically like the care we get. Our overall self-evaluation of the treatment we receive is solidly in the middle of the pack, with 70 percent expressing satisfaction -- which means we're less satisfied than the Canadians, Australians, and New Zealanders, but 5 percent above the Britons, and well above the Germans or Dutch. But when you ask for specifics, we do a bit worse.
Americans are the least likely to report that their doctors explain things in ways they understand (though the spread on this question is rather small) or say doctors spend enough time with them (56 percent of us say they do, as compared to 70 percent of Germans). We're the most likely to report that test results or medical records were unavailable during our scheduled appointments and, along with the Germans, the most likely to say that our doctors ordered tests that we'd already had done. On the bright side, 78 percent of us say our regular doctor was "informed and up-to-date" about follow-up care after a hospital visit.


7. We have high rates of chronic conditions. Aside from the surprisingly unhealthy Australians, Americans have the highest rate of chronic disease. And this isn't only a comparative problem; our high rates of chronic disease are a massive cost-driver, attributable, according to the research of Ken Thorpe, for about 2/3rds the rise in health spending over the past few decades.

8. … But we're not treating them properly. So given the high prevalence of such diseases, and the pressures they exert on our system, you'd hope our system had evolved so as to treat these diseases more effectively.
Not so. One of the big issues with chronic disease is coordination of care. Illnesses like diabetes and kidney failure have so many manifestations, and require so much maintenance, that it's critical for care providers to have a full picture of what treatments are being received, what the patient's medical history is, what therapies they will and will not follow, etc. And for that reason, it's critical for the patients to have a single medical home – a regular care center where their case is understood, tracked, and treated. Sadly, we're tied with the Canadians for the lowest percentage reporting a single "medical home."

Worse,we're far and away the likeliest to report spending more than $500 out-of-pocket on prescription drugs annually. That's a problem, as higher out-of-pocket costs mean more of us going without prescriptions, which means less maintenance of conditions and, thus, more cost when our chronic illnesses balloon into catastrophic health events. Indeed, 42 percent of Americans with chronic conditions -- the exact same percentage who report paying more than $500 for drugs -- report skipping care, drug doses, or doctor's appointments due to cost. That's cheaper for them in the short-term, as they can spend some of the money on food or rent. It's more expensive for us, however, as we pick up the huge bill when they end up in the hospital in full cardiac arrest.


9. We're frequent victims of medical, medication, and lab errors. Along with Australians, Americans are the most likely to report a medical, medication, or lab error, with 20 percent saying they've experienced one of the above over the past year. For those of us with chronic diseases, the rates are even higher. There are many reasons for this, ranging from our low adoption rate of electronic medical records to our splintered care system. But the effects are bad for our health and, needless to say, bad for our insurance rates. Conservatives make a huge deal out of medical malpractice claims, but studies show that our high rate of lawsuits is due to our high rate of medical error. The crisis isn't just in the courtrooms, it's on the operating tables.

10. Most of us are dissatisfied with our current system. In health polling, happiness with the system is generally measured through a three-answer question: Does your system merely need minor changes, as it works pretty well? Does it need fundamental changes? Or does it need to be rebuilt? Of all the countries surveyed -- including the supposedly dystopic U.K. and Canada -- Americans are the least likely to report relative satisfaction, and the most likely to call for a fundamental rebuilding. Only 16 percent of us are happy. In Canada and the U.K., that number is 26 percent. In the Netherlands, it's 42 percent. Meanwhile, 34 percent of Americas want to completely rebuild. Only 12 percent of Canadians say the same, and only 15 percent of U.K. residents want a new system. So paying more than twice as much as anyone else, we have the lowest satisfaction with our health care system. Lower than the countries with waiting lines. Lower than Germany, and Australia, and New Zealand.
And perhaps this shouldn't be a surprise. Is it any wonder that Americans who have to forgo care are less satisfied than Canadians who simply have to wait for elective surgeries? That our shorter doctor visits, more impersonal caregivers, higher rates of medical errors, and inability to find primary care after 6 P.M. have left us frustrated? And that our sky-high costs have, finally, left us aching for change?

There is no other area of American life where we collectively accept such a bad deal. We spend the more than any other nation on our military, but our military is unquestionably the mightiest in the world. We spend the most on our universities, but our universities are the best on the planet. But we spend the most on our health care -- twice as much as anyone else -- and our health system is mediocre-to-poor, with 47 million of us lacking the insurance necessary to easily access it. It's not surprising that Americans want change. But it should be shocking that opportunistic politicians like Rudy Giuliani feel safe to stand in its way. Maybe in this election that will change.
And read further at 40 Americans (including some Canadians) comments.
Ten Reasons Why American Health Care Is so Bad | The American Prospect
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Old 02-05-2008, 06:20 AM   #207 (permalink)
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That's the point. If Hillary's plan is accepted, you won't be allowed to turn it down. You will be forced to accept it and pay for it.
Health is mainly important than worry anything...

Did you know how much head surgery cost, my son had at almost 3 years ago? I am realllllyyyyyy gllllaaaaddddd that I have health insurance for our family safety....
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Old 02-05-2008, 06:22 AM   #208 (permalink)
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Originally Posted by PuyoPiyo View Post
And that's scary.
Why?

You will still get health coverage under Hillary's plan when you are out of work. You do not need to pay anything extra for yourself when you are worker/employee.
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Old 02-05-2008, 06:23 AM   #209 (permalink)
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Hillary's forced health insurance is not for rich celebrities; it's for middle class people. Middle class people will be forced to pay for this insurance, like it or lump it. People working in stores, restaurants, gas stations, and other small businesses will be forced to pay. No choice. That's her plan.
http://www.alldeaf.com/870382-post282.html

http://www.alldeaf.com/870986-post304.html
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Old 02-05-2008, 06:32 AM   #210 (permalink)
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Yeah, that's what I would like to know as well. Obviously forcing someone won't work because that person won't still have enough money to buy insurance.

I would like to have system where everyone will have one through taxes.

But this will tell me which one is more important to Americans, have tons of money or life.

I chose the latter. After all, who cares if I can't afford a really nice fancy car because my taxes goes to help people who need it the most. Have a decent car is enough after all I know not everyone is lucky.

*A*M*E*N*

Health insurance is a luxury to me to save people's risk life than anything including big and fancy car, etc because I rather to help with my insurances to everyone who deserves to remain alive and want to see everyone treat equal.

I would consider the people as greedy and selfish for complain for not want to pay "extra" health insurance coverage out of their pocket under Hillary's plan to save their people's risk life. Poor workers and employees who cannot afford to insure health insurance coverage when they desire to save their family life.

Explains at 2 links, I provided toward Reba.

I support Hillary's health insurance plan fully than worry about her past background.
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