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Dr. Rich Swier Blog — FLORIDA: 25 Reasons NOT to Take Federal Dollars to Expand Medicaid

Dr. Rich Swier Blog
“FLORIDA: 25 Reasons NOT to Take Federal Dollars to Expand Medicaid”
June 5, 2015Monday, The Florida Legislature opened a special session to decide on the state budget and debate how Florida should move forward in regards to our healthcare future. The Senate offered a plan that supporters, including many business interests, sugarcoated in conservative buzzwords such as “a free market approach,” even though the plan is anything but. As we say here at The James Madison Institute, pro-business isn’t always pro-free market. House Republicans and Governor Rick Scott, for good reason, oppose expanding federal control and a flawed program in our state. The Senate approved its plan Wednesday and the House is set to debate the bill today and vote on it this Friday [May 5th].The Tampa Bay Times recently released an editorial giving 25 reasons Florida should take the money and encouraging Floridians to “tell (lawmakers) to listen to the powerful moral and financial arguments for taking the money and providing access to affordable health care.” Yes, there is a powerful moral and financial argument to be made. Yes, solutions exist to provide access to affordable healthcare. No, the Times does not have the right answers for either.As Forbes opinion editor, senior fellow at the Manhattan Institute for Policy Research, and friend of JMI, Avik Roy points out, “Progressives have long enjoyed wielding the straw man. “If you oppose expanding Medicaid,” they say, ‘you oppose health care for the poor. Plain and simple.’ But the truth is, if you support expanding Medicaid, you’re doubling down on a failed system, one that shuts the door on real reforms that could provide quality health care to those who most need it.”The James Madison Institute offers “25 Reasons NOT to Take FederalDollars to Expand Medicaid.” Share our infographic today and tomorrow through social media. RT on Twitter here. Share through Facebook here. Find on our website here.

Medicaid already takes up more than 30% of Florida’s budget: Currently, Medicaid takes up more than 30 percent of Florida’s budget and crowds out other public priorities such as education, public safety and infrastructure.
Medicaid payment rates are well below market rates:Payments to healthcare providers under Medicaid are well below market rates. Exasperating this system would be anathema to free-market reforms in healthcare.
The federal government is already $18 trillion in debt; Obamacare costs rise daily:The federal government is $18 TRILLION in debt with the cost of Obamacare rising daily, requiring even more money from taxpayers to feed the beast.
The supply of doctors accepting Medicaid is shrinking: As a consequence of federal Medicaid price controls, the supply of doctors that will accept Medicaid patients is shrinking — this shrinkage will become more rapid under an expansion of Medicaid.
Medicaid expansion leads to greater use of ERs, not less: A March 2015 survey of 2,098 emergency-room doctors showed Medicaid recipients newly insured under the health law are struggling to get appointments or find doctors who will accept their coverage, and consequently wind up in the ER.
Arkansas’s “private option” costs state taxpayers tens of millions: Medicaid expansion is not working in Arkansas. The Arkansas legislature passed a “private option” healthcare plan similar to what the Senate in Florida is proposing and the price tag is rising by the month under Obamacare’s Medicaid expansion and state taxpayers will now have to pay tens of millions to cover the unexpected costs. The proposed plan in Florida could cost far more than projections indicate.
Mandated premiums create inefficiencies in supply and demand for healthcare services: When premiums for healthcare plan participants are mandated and set by legislative action, it is nothing more than market distorting price controls, which ultimately create inefficiencies in the supply and demand for healthcare services
Feds won’t approve Senate’s special waivers; Florida left with traditional Obamacare expansion: The Senate’s plan includes a requirement that enrollees work, attend classes or prove they are seeking work in order to maintain eligibility for healthcare coverage. However, to date the federal government has rejected all state-run expansion plans with a work requirement. They will deny this special waiver and we’ll be left with traditional Medicaid expansion.
Oregon study revealed Medicaid enrollees hardly better off than uninsured: Medicaid expansion is not working in Oregon. In Oregon, a study was conducted among Medicaid enrollees that found Medicaid “generated no significant improvements in measured physical health outcomes.”
Medicaid Expansion will do nothing to lower cost of overall healthcare delivery: Medicaid expansion would not lead to any type of price transparency in healthcare delivery, which does nothing to help lower the cost of healthcare delivery.
Medicaid expansion does not lead to better health outcomes for the poor: Research consistently shows Medicaid patients frequently receive inferior medical treatment, are assigned to less-skilled surgeons, receive poorer postoperative instructions, and often suffer worse outcomes for identical procedures than similar patients both with and without health insurance.
New Hampshire feels the financial burn and is reconsidering Medicaid expansion: Medicaid expansion is not working in New Hampshire. According to the National Association of State Budget Officers’ annual report, in New Hampshire Medicaid grew from 24 percent of the overall state budget in 2012 to 27 percent in 2014. In January 2015, the state’s Department of Health and Human Services announced that it was $82 million over budget, thanks to Obamacare, Medicaid expansion and to the original Medicaid program expanding with additional enrollees. Lawmakers are now deciding whether to continue the expanded Medicaid program which sunsets in 2016.
The federal government’s promises aren’t reliable: The U.S. Supreme Court told the federal government mandating Medicaid expansion was unconstitutional. However, they admitted this year that if Florida didn’t expand Medicaid under Obamacare, they would not be incentivized to continue the Low Income Pool funding. If they would pull funding from some of the most vulnerable in the system, what wouldn’t they do?
Florida taxpayers will foot the bill for billions: Florida taxpayers will be responsible for a tab of billions of dollars as the federal government requires increasing shares from Florida’s budget after a certain point if the state expands Medicaid under Obamacare. Even if the federal government keeps its “promise” on the funding percentage, Florida taxpayers will be responsible for 10 percent of the total cost of expansion, a tab that will run into the billions based on even the most conservative estimates.
Having health insurance isn’t the same as receiving healthcare:Medicaid is socialized health insurance, not access to healthcare. There is no guarantee that just receiving socialized insurance means an individual receives quality service.
The majority of the Medicaid expansion population consists of working-age adults: The overwhelming majority of the Medicaid expansion pool are made up of childless, able-bodied, working-age adults. Expanding a failing entitlement program for this population will only lock people into the cycle of dependence.
Medicaid expansion creates a perverse disincentive to improving one’s financial status: In many cases, making just a few more dollars per year will actually cost a person thousands in copayments, deductibles, and out-of-pocket expenses resulting in being pushed out of Medicaid rolls.
Illinois faced unanticipated cost increases in the billions:Medicaid expansion isn’t working in Illinois. Forbes’s Akash Chougule reports, “Health officials originally estimated it would cost $573 million from 2017 through 2020 when the state’s funding obligation kicked in. But nearly 200,000 more people enrolled in the program in 2014 than originally projected. State budget officials were forced to revise their cost estimates to $2 billion—more than triple initial estimates.”
Medicaid will cost Florida way more than anticipated: The cost projections for a Medicaid expansion in Florida are unreliable and grossly underestimated. Several states are experiencing the financial strain of Medicaid enrollment figures well higher than initial projections.
Medicaid expansion wouldn’t necessarily result in more coverage or access to care: Florida’s own Medicaid director stated that he couldn’t guarantee the expansion would result in more coverage or access to care.
Medicaid expansion increases private insurance rates: Expanding Medicaid rolls will inevitably distort the risk pool causing private insurance premiums to rise, effectively shifting more of the cost of expansion onto taxpayers and those not receiving Medicaid benefits.
Ohio taxpayers face a $400 million bill: Medicaid expansion isn’t working in Ohio. Ohio’s Medicaid expansion is expected to be nearly $1 billion over budget in June. With Ohio on the hook for 10 percent of the expansion’s cost by 2020 (if the federal government keeps its promise) that will result in an annual cost of over $400 million for Ohio taxpayers.
Expanding Medicaid will likely increase fraud: Medicaid expansion will increase the amount of fraud and abuse within an already strained government program
The systemic issues in the healthcare system will not go away:Expanding Medicaid does absolutely NOTHING to address systemic issues facing Florida’s healthcare system that impact everyone.
Dependency cycle will expand beyond true safety net intent: 
The idea behind the safety net programs has always been to serve individuals in need, while providing mechanisms to pull out of dependence into productivity, not to create generations of citizens who know nothing except government reliance. By expanding Medicaid to populations that are outside the typical safety net composition, we effectively enlarge and encourage the cycle of dependency to grow and become more ingrained in our culture.

Article: http://drrichswier.com/2015/06/05/florida-25-reasons-not-to-take-federal-dollars-to-expand-medicaid/

Sours: https://www.jamesmadison.org/dr-rich-swier-blog-florida-25-reasons-not-to-take-federal-dollars-to-expand-medicaid/

OUR VIEW: Indoctrination by the state

Let’s be blunt: Segments of Sarasota’s political and intellectual elite — liberal and conservative alike — often regard Dr. Rich Swier (a doctor of education administration) as a conservative gadfly-extremist. And that’s being polite.

“Right-wing whacko” is another term muttered among Sarasota’s liberalista Democrats and numerous “Rhinos” (Republican in name only).

But we’re a big fan of Swier. The retired Army lieutenant colonel stands where we do: for freedom, in particular for individual freedom as enunciated by the Founding Fathers, which irrefutably is the antithesis of whacko-ism.

Thank goodness for Swier’s patriotic enthusiasm. We need him for the very reason he stood before the Sarasota County School Board Tuesday, making his case against a history textbook, “World History: Patterns of Interaction,” which history textbook experts increasingly are proclaiming is biased toward Islam and error-ridden.

Swier is illuminating locally a long-standing, destructive problem in American education: the almost monolithic thought in academia that relentlessly undermines America’s original ideals and principles.

And although Swier is challenging one particular textbook to raise the public’s awareness of the importance of what is being taught in our public schools, he also is illuminating what Michigan scholar Daniel Hager calls “the central fallacy of public schooling”: that the state is politically neutral and amoral in the way it educates our children.

Au contraire, public education is all about indoctrination. And Swier’s efforts are bearing this out.

How the challenge began
Swier’s efforts started a few months ago when he coincidentally found himself sitting as a witness for a Jewish mother who is concerned about this particular history book. Swier says this mother of two Sarasota County School District students worries about what is being taught. She knows of the extremist side of Islamism. Her great-grandparents were pulled from a public bus and executed on the streets of Baghdad.

After Swier listened to her concerns, activist that he is, he took up the cause. He requested the Sarasota County School District review the contents of the district’s high-school history book, which has been used for five years.

The superintendent appointed a committee of district staff members to review the book and Swier’s claims.
Swier argued the book is biased toward Islam, pointing to specific passages throughout the text. He also included a 14-page review of the text from Terri K. Wonder, a Ph.D. and expert on the Middle East. Her doctoral thesis at the University of South Florida, in Tampa, focused on the Sami al-Arian case, “Re-Islamization in Higher Education from Above and Below: The University of South Florida and Its Global Contexts, 1986-2007.”

Wonder shredded the book, pointing out in detail in her final five pages inaccuracies and what she interpreted as unequivocal pro-Islam bias.

The committee, however, ruled the book acceptable.

Swier appealed, pointing out, among other things, none of the committee members held a degree in history, world history, religion, religious movements, world cultures or world movements. Nor did the committee show that it gave much weight, if any, to Wonder’s critique.

This past Tuesday, Swier appeared before the Sarasota County School Board to appeal the committee’s denial. The School Board Chambers was packed; 44 members of the public spoke, with roughly half arguing in support of Swier’s contentions and the other half — many of Middle Eastern descent — supporting the text and referring to its opponents as racist and anti-Muslim.

“I believe that administrators, teachers, students, parents and stakeholders want our public-school textbooks to meet the highest academic standards, be historically accurate and present world history and the interactions of civilizations in a balanced and unbiased manner,” Swier told the board members.

The board voted unanimously — 5-0, to reject Swier’s appeal. While most of the school board members acknowledged the content of the textbook is flawed, they failed to take responsibility and passed blame. Board members said the book was acceptable because the Florida Department of Education OK’d it.

And with that, voila! Back into the bureaucratic abyss it goes. The book is flawed, and it’s conveying a tilted point of view, but the process of “the state” takes precedence over content.

Instruments of the state
This is what parents in the vast majority fail to realize about public education. They are making a “Faustian bargain,” the proverbial deal with the devil when they make the choice for “free” state-run education. Consider:

Every parent confronts the decision of who will educate his children. Or, as scholar Hager put it in a 1999 essay in The Freeman magazine: “Who will do the indoctrinating?”

“Parents retain the greatest control over their children’s developing beliefs by schooling them at home,” Hager wrote. “An alternative is to enroll their children in an institution where they are certain the indoctrination conforms to their own values, such as a religious school.

“But when parents send a child to a tax-funded school, they sacrifice their autonomy to alien interests. The state has goals of its own that are distinct from those of parents,” Hager wrote.

Here is the Faustian trade-off: “The price of tax-funded schooling is that parents give up their children to become instruments of the state,” says Hager. “Children who are turned over to the state become molded by the state.”

Look around you. You see it every day. It is no accident that the overwhelming mantra among public-school children today is focused on “going green” and “saving the environment.” Ask any of these children if they believe we should trade oil for wind or solar energy, and the answer would be unequivocal — yes! — with little understanding of the trade-offs that come with every choice. This is how they have been indoctrinated … and brainwashed.

Americans overwhelmingly believe in publicly funded, publicly controlled education. But we hope Rich Swier Sr., in his enthusiastic, patriotic way, has done all parents a favor: Awakened them to the truth that public education, by its very nature, will subvert family traditions and family beliefs.

WHO'S BIASED?
Prior to Tuesday’s Sarasota County School Board hearing to discuss Rich Swier Sr.’s appeal regarding the history textbook, “World History: Patterson of Interaction,” School Board member Shirley Brown posted the following comments on Facebook:

• “It’s costing the school district a lot more than just an electric bill. For someone who complained about the way we spend our money, he (Swier) sure wastes a lot of it.”

• “Jaimie: Do you think his zealous rants move our community forward?”
Swier asked Brown to recuse herself from the vote. She did not.

RICH SWIER SR. ON HOW TO FIX TEXTBOOK REVIEWS, SELECTION
Dr. Rich Swier Sr., Ed.D., retired Army lieutenant colonel and president of the Sarasota County Veterans Commission, submitted the following recommendations Tuesday to the Sarasota County School Board to correct what he says “truly is broken — the textbook adoption and complaint review processes within the district.” The board did not act on Swier’s recommendations.

1. Due to the lateness in the school year and costs involved, retain “World History: Patterns of Interaction.” However, recognize the clear historical flaws and bias in the textbook by directing the superintendent send a letter to all high school history teachers and administrators pointing out the faults within this textbook. Attach to the letter the full study written by Dr. Terri K. Wonder.

2. Establish a curriculum task force that can provide supplemental in-service training to educators who must use textbooks that are deemed instructionally deficient, which is the case with “World History: Patterns of Interaction.”

3. Provide supplemental materials such as “The World of Islam” published by Mason Crest to all high schools using “World History: Patterns of Interaction.” There may be donors in the community to help fund the purchase of “The World of Islam” series of books.

4. Revise the textbook selection and review committee’s composition by insuring a preponderance of academicians with expertise in the subject matter of the textbook under consideration or review are part of each committee. If you are going to adopt an Algebra II textbook, it only makes sense to have those with degrees in mathematics on the committee.

5. Revise school board policy 4.00 to have an equal number of parents on the committee as district staff. This will allow greater input from concerned parents.

6. Have at least one student sit on the textbook selection and review panels. One of the most telling comments from a review committee member was that he found “World History: Patterns of Interaction,” “boring.”

7. Have the district’s legal counsel review “World History: Patterns of Interaction” to determine potential violations of the Establishment Clause of the U.S. Constitution and legal liability by the school board under SB Policy 4.21.

8. Include an expert in educational law on the committees to insure adopted textbooks do not violate the Establishment Clause as defined by the Supreme Court in Lemon v. Kurtzman (1971) — that education must have a secular legislative purpose; education must not have the primary effect of either advancing or inhibiting a religion; and education must not result in excessive government entanglement with respect to religion.

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Sours: https://www.yourobserver.com/article/our-view-indoctrination-state
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Rich Swier

Rich is a serial entrepreneur based in Sarasota, Florida. He is the founder of the HuB, co-founder of offrs.com and his previous ventures include Sarasota Online (acquired by Comcast) and Backsoft (acquired by SAP).

In 1996, after graduating from the University of Florida at a mathematician and computer scientist, Rich developed the core architecture eventually used for broadband internet service in over 60 cities. At the age of 24, Rich sold his first venture to Comcast (largest cable provider in the U.S.) and was the first employee of a new division which is now called Xfinity. In 1997, Rich lead a team of engineers that launched the first cable modem. In 1998, Rich started a new venture called Backsoft that built software to connect Fortune 500 companies to the web. In 2000, Backsoft was acquired by SAP (2nd largest software company in the world)

In 2000, Rich launched the first angel fund and private-sector incubator in the State of Florida which has since launched multiple successful ventures including Clinipace, Movo Mobile (acquired by Neighborhood America), BioLucid (acquired by ShareCare), DealersUnited.com and over 20 other companies. In 2009, Rich expanded his incubator into becoming the first coworking space in Florida.

In addition to his primary business pursuits, Rich is an author and speaker on topics including broadband development, predictive analytics and building startup ecosystems. Rich has been awarded numerous industry awards and accolades in his work with startups and continues to promote entrepreneurship in schools and communities.

Sours: https://www.acg.org/tampabay/rich-swier
Offrs Platform Training Video

Rich Swier’s Email & Phone

Sarasota, Florida

Advisor @ Offrs.com

Founder @ The HuB

Founder @ Startup Florida

High School, Surfing @ Lutheran High School of Hawaii

Rich Swier is an entrepreneur. Over the past 20 years, Rich has been involved in building a creative and technology economy in Sarasota, Florida. Today, Rich is focused on the HuB. (http://www.hubincubator.com) The HuB is an incubator for innovation and creativity and supports over 100 entrepreneurs in creating new ventures. The HuB provides a wide-range of services 

Rich Swier is an entrepreneur. Over the past 20 years, Rich has been involved in building a creative and technology economy in Sarasota, Florida. Today, Rich is focused on the HuB. (http://www.hubincubator.com) The HuB is an incubator for innovation and creativity and supports over 100 entrepreneurs in creating new ventures. The HuB provides a wide-range of services including application development, video production, marketing, business development and many other key aspects to growing or launching a venture. The HuB's mission is to build a strong creative economy in Sarasota, Florida by bringing together professionals, artists and entrepreneurs to execute big ideas. Ventures that have been launched at the HuB include HuB Studios, HuB Agency, HuB Institute, HuB Fund, HuB Campus, SarasotaDay.com, Proskore, BioLucid, BuyerHero.com, UVU360, PostShare.com, SkipALunch.org, Insurelinx and Yapped. - Prior to the HuB - In 1995 Rich started his first venture out of college called Sarasota Online. Sarasota Online was one of the first Internet providers in the State of Florida and was sold to Comcast Cable in 1997. Rich became Manager of Online operations and helped grow Comcast Online to 30 cities and over 14 million subscribers. After leaving Comcast, Rich continued to start multiple businesses including enterprise software companies, wireless security and Internet businesses. In 2002, Rich formed Startup Florida a Venture Capital firm that focused on funding startups and supporting entrepreneurs. Specialties: Early Stage Capital, Startup Experience, Entrepreneurship, Incubator, Social Media, Social Networking, Film Studios, Marketing.

Advisor @ offrs.com predicts which homes currently not listed for sale will sell in the next 12 months. From January 2015 to Present (1 year) Sarasota, Florida AreaFounder @ The HuB is a creative and collaborative space where entrepreneurs and artists come together to develop ideas and contribute toward building a creative class in Sarasota, Florida. As a "social enterprise" the HuB is also active in building a more dynamic community and creative class. Over the past two years the HuB has taken an active role in promoting big ideas. From March 2009 to Present (6 years 10 months) Founder @ From January 2000 to January 2008 (8 years 1 month) Co-Founder @ From July 2005 to August 2006 (1 year 2 months) Founder and CEO @ From August 2003 to June 2006 (2 years 11 months) Founder and CTO @ From February 1998 to February 2001 (3 years 1 month) General Manager @ From January 1996 to January 1998 (2 years 1 month) Founder @ From August 1994 to July 1996 (2 years)

BS, Mathematics @ University of Florida From 1990 to 1994 High School, Surfing @ Lutheran High School of Hawaii From 1986 to 1990 Rich Swier is skilled in: Speaker, Author, Investor, Entrepreneurship, Marketing, Social Media, Social Networking, Start-ups, Technology, Web Development, Incubators, Venture Capital, Video Production, Animation, Public Speaking

Websites: http://www.hubsarasota.com, http://www.richswier.com, http://hubincubator.com

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Sours: https://contactout.com/Rich-Swier-1152198

Swier rich

The Bay Park Launches 'Founding Business Partners' Program

Rich swier af3s93

Sarasota’s incubator and co-work space, the HuB, is moving in 2017 to 1343 Main Street to the Palm Tower. Founded by Rich Swier Jr., the HuB started in a small warehouse in the Rosemary District in 2009 and then in 2012 moved as anchor tenant to 1680 Fruitville Road in a building owned by Sarasota entrepreneur Jesse Biter. One of the largest co-work spaces in Florida, the Hub (see our story in 941CEO) has been home to more than 150 entrepreneurs and 50 startups. Swier is planning on launching the new space in early 2017, and the renovated building will be renamed the HuB. Meanwhile, Biter is launching his own incubator and rebranding the HuB’s former home, BOLD | Live, Work, Play. After tearing down the parking garage next to the building he will also build a 97-unit residential building called BOLD lofts, scheduled to open in 2018.

Sours: https://www.sarasotamagazine.com/news-and-profiles/2016/10/the-hub-is-moving
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They were bisexual and in their letters told the artist about their meetings with both girls and boys. The conversation in the letters was also about posing, the artist had some ideas about them, but which ones, it was not. Clear from their letters, whether he wanted to paint a picture from them, or just make some sketches.

However, as I understood from their correspondence, both of them were busy enough, worked shifts on the railway and could not come to him. From the letters it was clear that their meeting with the artist would hardly ever have been possible, maybe for this reason the artist gave me their.

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Excuse me, thought, I jumped up and grabbed the tray from her. I think you are already on the beach in your mind. Yes.



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