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Obamacare - Sectoral Winners and Losers 100%

Obamacare Sectoral Winners and Losers Ankur Gajjaria Senior Analyst, Business Research Prachi Ashani Associate, Business Research Wendell Miranda Associate, Business Research 1 CONTENTS Hospitals Outperform As Rising Percentage Of Insured Patients Leads To Reduction In Unpaid Medical Bills 2 Compulsion To Maintain Electronic Health Records Raises Software Sales 3 Medical Device Companies Resort To Job Cuts And Lower R&D Spending Due To Device Tax 4 OBAMACARE HOSPITALS AND ELECTRONIC HEALTH RECORD COMPANIES OUTPERFORM MEDICAL DEVICE MAKERS LOSE OUT Touted as one of the biggest healthcare reforms in the US, the Patient Protection and Affordable Care Act, has been the subject of countless political debates and discussions.


2011 Freedom Index South Dakota JBS Final 78%

How every lawmaker voted on issues such as "Obamacare,"


SOWK 604.002 Policy Analysis Tony Carbone (1) 78%

Lynn April 20th, 2017 1 AN ANAYLSIS OF THE AFFORDABLE HEALTH CARE ACT An Analysis of the Affordable Healthcare Act The act commonly referred to as “Obamacare” is technically labeled the Patient Protection and Affordable Care Act (Democratic Policy and Communications Committee, 2013).


2018 Democratic Party Survey 74%

(please choose four) • The repeal and replacement of the Affordable Care Act (Obamacare) • The unconstitutional ban against immigrants from Muslim-majority countries • The deportation of law-abiding immigrants and the building of a border wall • A federal budget that increases military spending by billions of dollars while cutting funding for Medicaid, education, and other programs that help working families and seniors • Defunding public schools and creating “voucher” programs for private schools • Attacks on the civil rights of LGBTQ Americans • Dismantling of EPA regulations that protect our clean air and water • Tax cuts that benefit corporations, billionaires, and millionaires while doing nothing for the middle class • Opposition to common-sense gun safety measures • Loosening restrictions on Wall Street and big banks • I am not troubled by the policies of the Republican Party 2) Which aspects of the Trump presidency do you find most troubling?


Ojeda Survey 64%

16 Campaign X X that will repeal or defund ObamaCare?


Market Commentary 1-8-2014 55%

We remain fully allocated in all portfolios, as we have throughout the government shutdown and the “Obamacare” fallout.” We continue to remain fully allocated in all portfolios, up to each individual client’s model.


Middle Class Expansion Blueprint January 1 2018 51%

Build to Wall on the Southern Border Apply to Rebuilding America’s Infrastructure (roads, bridges, airports, seaports) Repeal and replace Obamacare with a Healthcare System that works for all Americans Reducing the $20 trillion budget deficit


LD16 Debate 51%

11) Thoughts on ObamaCare: 100% opposed to ObamaCare;


sarahpalin 34%

GOP majorities handing over a blank check to fund Obamacare and Planned Parenthood and illegal immigration that competes for your jobs, and turning safety nets into hammocks, and all these new Democrat voters that are going to be coming on over border as we keep the borders open, and bequeathing our children millions in new debt, and refusing to fight back for our solvency, and our sovereignty, even though that’s why we elected them and sent them as a majority to DC.


Adventist SHARP-AON Transition 32%

For those of you under age 65 that DO NOT have original Medicare, this transition does not affect or apply to you...unfortunately, you're still stuck with Obamacare like the rest of us.


The Front Range Voluntaryist Issue #7 30%

Issue​ ​#7​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​September,​ ​2017 Making​ ​An​ ​Example​ ​Promoting​ ​Liberty​,​ ​by​ ​Non​ ​Facies​ ​Furtum​ ​(p.​ ​2) Policing​ ​as​ ​a​ ​Private​ ​Affair,​ ​Article​ ​by​ ​J.​ ​Allen​ ​Barnaby​ ​(p.​ ​3-4) Give​ ​Anarchy​ ​a​ ​Chance​,​ ​article​ ​by​ ​Noah​ ​Leed​ ​(p.​ ​4-7) Communism​ ​Kills,​ ​pt.​ ​1:​ ​Monumental​ ​Social​ ​Closure​ ​and​ ​Left-progressive​ ​Bias, Libertarian​ ​Sociology​ ​101​ ​column,​ ​By​ ​Richard​ ​G.​ ​Ellefritz,​ ​PhD​ ​(p.​ ​7,​ ​11) Violence​ ​and​ ​Politics​ ​Are​ ​Inseparable,​ ​article​ ​by​ ​Sean​ ​O'Ceallaigh​ ​(p.​ ​8) Why​ ​Homeschooling​ ​Works​,​ ​by​ ​Amelia​ ​Morris​ ​ ​(p.​ ​8) Ruby​ ​Ridge:​ ​25​ ​years​ ​later.​ ​A​ ​Summary​ ​for​ ​the​ ​Next​ ​Generation​, article​ ​by​ ​Jason​ ​Boothe​ ​(p.​ ​9-10​) So​ ​You​ ​Want​ ​to​ ​Privatize​ ​Everything?​,​ ​article​ ​by​ ​Matthew​ ​Dewey​ ​(p.​ ​11-13) Inflating​ ​Away​ ​Our​ ​Technological​ ​Gains​,​ ​article​ ​by​ ​James​ ​Butcher​ ​(p.​ ​13-15) Going​ ​Anti-State​ ​and​ ​Abandoning​ ​Politics​,​ ​article​ ​by​ ​Mike​ ​Morris​ ​(p.​ ​15,​ ​21) Your​ ​Dog,​ ​Lawful​ ​Plunder​ ​and​ ​the​ ​Regulatory​ ​State,​ ​article​ ​by​ ​Nick​ ​Weber​ ​(p.​ ​21-​ ​24) What​ ​If​ ​You​ ​Were​ ​A​ ​White​ ​Nationalist?​,​ ​submission​ ​by​ ​“Orthobro”​ ​(p.​ ​24​ ​-​ ​28) 1 Making​ ​An​ ​Example​ ​Promoting Liberty​,​ ​article​ ​by​ ​Non​ ​Facies​ ​Furtum ...harmful  ideas  or  act  immorally.  Make  it  uncomfortable  to  be  evil,  and  to support evil.  This  can  manifest  itself  in  ways  such  as  telling  a  companion  that  you’re  going to stop  spending  time  with  him  if  doesn’t  stop  watching  CNN,  arguing  diligently  and  impolitely  with  your  cousin  who always says  “I’m  just  a  centrist,  bro.”  and  “  Obamacare  saves  lives!”.  If  some  attractive  woman  asks  you  out  on  a  date  wearing  a  “thin  blue  line”  t-shirt,​ ​deny​ ​her.    Of  course  this  ability  to  shun  people  with  foolish  or  unhelpful  ideologies  does  not  preclude  one  from  also  doing  positive  work  to  support  those  who  are  actively  changing  things for the better in the world. If you know  someone  who  is  passionate  about  liberty  and  could  inspire  people  with  their  talent  for  writing,  speaking,  or organization, encourage  them  to  create  something.  Donate  or  volunteer  with  people  at  some  sort  of  local  charity  event  which  would  decrease  dependence​ ​on​ ​the​ ​state​ ​for​ ​some​ ​people.    In  general,  I  encourage  everyone  reading  this  to  make  a  credible  difference  in  their  social  circle  by  living  in  a  way  that  sets  an  example.  Inspire  people  with  your  positivity  and  passion  for  valuable  social  change,  and  do  not  waste  your  time  on  people  who  will  work  against  you  and  will  not  listen  to  the  reason  of  your  arguments.  Be  clear with your  arguments,  accurate  with  your  evidence,  passionate  about  your  lifestyle,  and  deliberate  with  how  you  spend  your  time.  This​ ​will​ ​help​ ​us​ ​secure​ ​a​ ​free​ ​future.      Voluntaryism  is  still  a  new  ideology  to  many,  even  though  its  principles  are  simple  and  already  nearly  universally  valued  in  many  ways.  It  is  important  work  to  spread  the  word  about  its  immense  value  and moral  correctness,  but  this  will  not  be  sufficient  to  bring  about  a  truly  free  society.  When  the  people  who  do  not  change  things  and  who  just  go  through  life  living  at  the  level  of  the  least  common  denominator  or  an average life  see  new  styles  of  life  that  work  better  than  others,  they will gradually change their ways.  Until  then,  they  will  live  a  “path  of  least  resistance”  lifestyle.  It  is  important  for  those  of  us  who  have  arrived  at the objective moral  truth  of  voluntaryism  to  set  an  example  of  just  how  much  freedom  and  respect  for  property  rights  and  self-ownership  can  lead  to​ ​a​ ​successful​ ​and​ ​joyful​ ​life.    What  many  voluntaryists  spend  most  of  their  time  doing  is  spreading  knowledge  of  the  arguments,  reason,  and  evidence  that  support  voluntaryism,  non-aggression,  and  liberty  as  the  most  useful and morally correct  principles.  This  is  incredibly  important  and  necessary  work,  but  often  it  is  not  enough  to  get  most people to change their ways, or even  consider  accepting  the  arguments.  Living  by  example  opens  those  around  you  up  to  new  ideas,  and  inspires  many  people  more  than  do​ ​valid​ ​logic​ ​and​ ​clear​ ​evidence.    One  important  aspect  of  living  a  voluntaryist  lifestyle  is  remembering  that  non-aggression  is  not  synonymous  with  tolerance.  One  of  the  most  powerful  moral  tools  that  one  has  is  their  ability  to  decide  with  whom  one  spends  their  time.  By  this  I  mean  that  in  the  same  way  shop-owners  can  refuse  to  do  business  with  people  who  are  known  to  have  been  thieves  or  people  who  have  aggressive  tendencies,  every  individual  can​ ​and​ ​ought​ ​to​ ​shun​ ​those​ ​who​ ​have... 2 Policing​ ​as​ ​a​ ​Private​ ​Affair,​ ​Article​ ​by J.​ ​Allen​ ​Barnaby​ ​of​ ​the​ ​Free Association​ ​Center   Policing,  the  protection  of  person  and  property,  can  and  should  be  handled  privately  for  reasons  both  ethical  and  prudential.  This  simple truth is often hard for  most  to  swallow,  especially  those  looking  to  rationalize  the  various  forms  of  centralized  control  they'd  like  to  continue  exerting  over  the  entire  populace  within  a  certain  geographic​ ​area.    Decentralized  policing  services  can  and  should  be  provided  by  the  individual  landowners  or  users  who  truly  find  any  particular  protection  service  more  valuable  than  its  cost.  The  competitive  pressure  made  possible  by  decentralizing  decision-making  aligns  the  incentives  of  security  providers  much  more closely with those of the marginal  customer  relative  to  a  centralized  political  system  where some fraction of the population  enforces  their  preferences  upon  the  whole.  A  political process allows those holding its reins  to  externalize  the  costs  of  services  onto  unwilling  dissenters  who  may  have  better  options​ ​on​ ​the​ ​table​ ​in​ ​its​ ​absence.    But  what  about  the  poor,  you  ask?  The  working  poor  almost  invariably  rent  homes  and  travel  on  roads  owned  by  others.  Those  owners  make  their livings providing low-cost  services  to  the  poor  and  have  strong  incentives  to  pay  for  cost-effective  crime  deterrence  on  their  properties  in  order  to  prevent  damage  and  provide  their  customers  relatively  safe  passage  to  and  from  their  businesses  in  order  to  continue  making  their  living.  Insurance  companies  (think  homeowners'  and  life  insurance)  can  and  would  discriminate  between  customers  who  take  various  deterrence  measures  and  those  who  don't,  charging  owners  and  individuals  higher  premiums  depending  upon  their  varying  risk  profiles.  By  making  assets  more  profitable​ ​year​ ​in​ ​and​ ​year​ ​out,​ ​the​ ​benefits​ ​of protection  services  become  capitalized  into  the  value  of  the  properties  themselves.  We  must  acknowledge,  however,  that  we  do  not  have  Utopia  on  the  table  from  which  to  choose,  so  we  must  make  a  comparative  judgment  between  centralized  and  decentralized  provision  of  protection.  Centralization  poses grave risks of abuse, and  as  will  be  explained  below,  offers  little  relative  benefit  to  the  poor  and  powerless  in  practice.     Regime  economists  of  course,  even  those  espousing  free  market  rhetoric  across  any  number  of  other  areas,  readily  object  to  the  proposition  that  policing  can  be  provided  without  centralizing  said  service  by  force.  They  teach  us  that  policing  is  a  prototypical  "public  good,"  and  that  the  "optimal amount"  of  policing  services can't be provided without  some​ ​kind​ ​of​ ​forced​ ​centralization.    The  first  problem  with  this  approach  generally  is  that,  while  positing  that  decentralized  decision-making  might  lead  to  the  under-provision  of  a  service,  it  completely  ignores  that  centralization  is even  more  likely  to  lead  to  an  over-production  in  terms  of  cost  while  offering  little  assurance  against  under-production  in  terms  of  the  actual service quality enjoyed by those unable  to  wield  political  power  for  themselves.  What's  worse  is  that  those  who  advance  this  position  usually offer the pretext that without  centralization,  the  poor  and  ostensibly  powerless  would  lack  access  to  quality  service,  even  as  their  proposed solution often  fails​ ​to​ ​serve​ ​this​ ​very​ ​group.    The  second  problem  with  the  public  goods  rationalization  is  that  "prototypical"  services  like  policing  don't  even  obviously  meet  the  theoretical  requirements  of  a  public  good  on  their  own  terms.  We're  told  policing  is  non-excludable,  meaning  that  the  cost  of  keeping  non-payers  from  enjoying  the  benefits  of the protection service prohibits the  optimal​ ​level​ ​of​ ​protection​ ​from​ ​ ​(cont.​ ​4)  3 being​ ​provided​ ​to​ ​paying​ ​subscribers​ ​as​ ​well.    However  as  a  practical  matter,  policing  is  clearly  excludable.  Among  other  strategies,  police  agencies  can  simply  publish  the  properties  for  which they intend to defend by  force,  allowing  even  relatively  short-sighted  criminals  to  avoid  their  subscribers  and  incentivizing  them  to  case  unprotected  non-payers  instead.  Within  most  political  jurisdictions  currently,  county  and  city  jurisdictions  haphazardly  perform  this  function  already,  but  as  we  have  seen  above,  flexible  police  jurisdictions  determined  by  market  demand  would  better  serve  individuals  living  amongst  a  diverse  local  population  by  most  closely  aligning  incentives.    Private, decentralized policing is also largely  rivalrous  in  consumption,  in  stark  contradiction  with  the  second  requirement  of  a  public  good.  While  defending  one  house  in  a  neighborhood  from  the  threat  of  a  ballistic  missile  would  generally  require  defending  the  whole  neighborhood  from  the  same  threat,  thereby  rendering  the  defense  of  each  additional  house  in  the  neighborhood  essentially  cost-less  once  the  first  is  adequately  defended,  providing  a  deterrent  from  most  crimes,  as  well  as  investigation  and  restitution  services,  are  generally  costly  to  extend  to  each  additional  person  or  property.    It's  up  to  those  that  value  their  freedom  to  resist all who would employ the mere force of  arms  to  centralize  decision-making  within  a  privileged  political class. This goes double for  the  seemingly  fundamental  State  services  of  policing  and  dispute  resolution.  As  a  practical  matter,  subjecting  service  providers  of  all  kinds  to  competition  and  holding  them  to  principles  of  natural  justice  will  place  significant  limits  on  centralization  of  all  kinds.  Such  restraints  also  hinder  the  growth  of  political  power,  a  force  to  be  resisted  at all  costs​ ​by​ ​the​ ​true​ ​friends​ ​of​ ​man​ ​and​ ​liberty.  Give​ ​Anarchy​ ​a​ ​Chance​,​ ​article​ ​by​ ​Noah Leed   Many  of  us  were  heartened  by  the  recent  story  of  how  a  human  chain  was  formed  to  save  nine  struggling  swimmers  caught  in  a  rip  current  off  the  Panama  City  Beach  on  the  Florida  coast. Two boys had become stranded  offshore,  and  as  other  members  of  the  family  swam  out  to  their  aid,  those  swimmers  also  struggled  in  vain  to  get  to  shore.  Others  on  the  beach went from being onlookers to being  "on  duty"  as  they  linked  arms  to  form  an  eighty-person  human  lifeline,  pulling  those  stranded​ ​in​ ​the​ ​current​ ​back​ ​to​ ​safety.    Words  like  "heroic"  and  "miraculous"  come  to  mind  as  apt  descriptions of what occurred,  but  there  is  one  word  most  people  wouldn't  consider  using  here,  a  word  that  in  fact  perfectly  describes  how  this  family  was  saved:  they  were  saved  by  anarchy.  Most  tend  to  use  that word as a synonym for chaos  and  lack  of  structure  or  organization,  but  in  the  political  sense  it  simply  means  lack  of  a  formal  or  mandated  authoritative  hierarchy.  It  means  self-organization  rather  than  centrally​ ​planned​ ​organization.    ​It is immediately important to note that such  self-organization  necessarily  rests  on  whatever  moral  foundation might underlie it.  People  will  organize  themselves,  or  not,  according  to  the  system  of  values  they  have  in  common.  So  in  that  sense,  there  is  indeed  an  important  hierarchy  at  play  in  anarchy,  the  hierarchy  of  values  and  morals  that  has  evolved  over  the  countless  generations  that  preceded  ours.  Some  might  differ  in  what  constitutes  that  foundation  (using  terms such  as  "The  Enlightenment"  or  "Judeo-Christian")  but  there  can  be  no  doubt  that  beneficial  forms of anarchy are deeply rooted in history.  We​ ​don't​ ​make​ ​up​ ​values​ ​on​ ​the​ ​fly.     ​To  be  sure,  this  human  chain  didn't  just  magically  materialize  and  arise  spontaneously​ ​without​ ​any​ ​inputs​ ​of​ ​(cont.​ ​5)  4 of  leadership.  It  required  someone  to  first  have  an  idea  for  the  chain,  and  then  for  that  person  and  others  to  communicate  the  idea  and  to  facilitate  its  realization  by  recruiting  and  coordinating  willing  volunteers.  But  the  point  is,  the  manifestation  of  this  life-saving  team  required  no  pre-existing  hierarchy  or  formal  organizational  structure  or  authority,  and  required  no  threat  of  punishment  or  other  enforcement  mechanisms  to  make  it  work.  Those  who  wanted  to  participate  simply  did  so,  and  those  who  didn't,  didn't.  Whatever  minimal  elements  of  leadership  and  hierarchy  (i.e.,  non-swimmers  closest  to  shore/stronger  swimmers  in  deeper  ​waters)  That were needed had to arise in the moment,  voluntarily​ ​and​ ​organically.​ ​And​ ​they​ ​did.    It's  a  shame  that  the  word  "anarchy"  has  never  been  given  a  chance  to  gain  more  popular  use  in  contexts  that  actually  reflect  this  true  definition.  As  thinking  adults,  the  moment  we  hear  that  word  we  are  likely  to  not  really  think  about  what  it  might  mean.  Instead,  by  default,  we  give  it  the  emotional  weight  and  negative  connotations  that  were  likely  loaded  into our heads the few times we  heard  the  word  in  common  use  as  children:  anarchy  is  what  results  when  people  riot,  or  when  tornadoes  tear  up  towns,  or  when  nobody  does  the  dishes  (or  cleans  his  bedroom​ ​right​ ​now!).    So we are used to seeing the word "anarchy"  incorrectly  thrown  around  to  describe  things  like  the  gang-rule  and  barbarism  that  overtakes  failed  states  like  Somalia.  That  is  not  anarchy.  Rarely  is  the  word  used  in  any  but  negative  and  unappealing  contexts.  Perhaps,  though,  the  word  deserves  equal  time  in  getting  fair  use  to  describe  the  positive  voluntary  social  organization  and  human  cooperation  that  arises  almost  instantaneously  in  group  scenarios  such  as  the  Panama  City  Beach  rescue  (or,  say,  United  Flight  93).  And  further,  perhaps  we  should  consider  the  potential  negative  outcomes​ ​that​ ​might​ ​have​ ​resulted​ ​if​ ​anarchy   had  been  suppressed  in  the  case  of  this  rescue,​ ​as​ ​well​ ​as​ ​in​ ​other​ ​situations.    Representative  democracy  is highly thought  of  as  a  way  to  structure  the  governing  institutions  that  help  order  our  society  and  address  its  problems.  How  well  would  a  microcosm  of  political  democracy  have  worked  on  that  Panama  City  Beach?  In  the  name  of  "fairness"  we might want to consider  all  reasonable  alternatives  to  the  human-chain  idea,  and  we  might  want  to  vote  on  which  idea  to  deploy  and  on  who  should  lead  the  group,  and we might want to  consider  potential  costs  as  well  as  benefits  of  our​ ​options,​ ​and​ ​we​ ​might​ ​want​ ​to​ ​consult​ ​or   defer  to  authorities  and  experts  and  public  servants  on  the  details  of  executing  the  plan...after  another  vote,  of  course.  But  by  taking  time  to  formalize  the  life-saving  process  and  make  it  soundly democratic, that  democracy  would  probably  have  failed  the  nine​ ​people​ ​that​ ​anarchy​ ​managed​ ​to​ ​save.    In  case  anyone  thinks  I'm  just  bashing  government  here,  imagine  the  utter  failure  that  might  result  from  assigning  the  task  to a  meeting  of  middle-managers  mired  in  the  typical  bureaucracy  of  a  huge  corporation!  Direct  and  efficient (and risky) action and full  accountability  can  get  stifled  in  the  hierarchies  of  any  large  and  complex  organization,  whether  public  or  private,  because  large  organizations  commonly  breed  a  certain  amount  of  ass-kissing  and  ass-covering  (not  to  mention  foot-dragging,  finger-pointing  and  thumb-sucking).  It's  just  the​ ​nature​ ​of​ ​large​ ​organizations.    The  large  organization  will  have  many  structures,  rules  and  policies  that  have  evolved  to  "safely"  (ass-covering,  again)  give  guidance  in  most  situations,  but  not  in  all.  A  bureaucracy  is  always  obedient  first  and  foremost  to  itself,  at  the  risk  of  sacrificing  those  stray  few  who  might  be  in  situations  that  fall  outside  its  rigid  regulatory  regimes.  To  best  respond to certain situations -- like an  entire family stuck in a rip current -- agents of  larger​ ​organizations​ ​must​ ​be​ ​given​ ​(cont.​ ​6)  5


My Document 30%

It is also worth noting that even the castrated by Republicans Obamacare Act has slowed down the growth of the national health expenditures by nearly a factor of two.


The Parkersburg News Sent 10202017 Cover+11A 30%

∫ An amendment by Paul to revive the “Obamacare” repeal failed by a 2-to-1 margin.


drudgetoday 27%

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noticiaslatinas 24%

Este año, la inmigración ha contado con varios factores que la han situado en el centro de la atención en cuanto a la reforma migratoria, como la crisis de Siria y el Obamacare.


CC007 23%

i giudici che non sono di sua nomina e che finora gli hanno tamponato i suoi ordini esecutivi soprattutto quelli relativi all'ingresso da paesi stranieri e la abolizione dello Obamacare;


CARPE LIBELLUM DEC 2012v1 (1) 17%

Both candidates expressed contrasting views on issues ranging from abortion and gay marriage to Obamacare.