Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Thursday, May 26, 2016

May, 2016, Part 3, The Unfolding Disaster That Is Obama Care: A Smoker Cessation Component That Ceases Nothing and Sories of Heartbreak From Across the Country

Every month for years now we have had to discuss how bad Obama Care is turning out to be under the continuing theme, “the unfolding disaster that is Obama Care.” This month is no different. As the legislation continues to march through America, driving up health care and health insurance prices as it serves as dead weight on economic growth, it cements its rightful place as the worst piece of legislation Washington has ever produced.

It never had a chance to be successful since it really never addressed the underlying root causes of our ever increasing health costs in the country:
  • Americans eat too much of the wrong kind of food, resulting in obscenely high obesity rates for the country.
  • Our food chain is infested with overdoses of high fructose corn syrup, salt, and other unhealthy additives.
  • Americans smoke too much.
  • Americans do not exercise enough.
  • The country is in serious need of health care tort reform.
  • Barriers to insurance company competition across state lines need to come down.
  • Obama Care never “followed the money” to find out who is actually profiting from the ever escalating healthcare costs in this country and how to get those factors under control.
  • Obama Care never got the immense amount of fraud and abuse in current government healthcare programs, Medicare and Medicaid, under control in order to save money to efficiently fund other government health care initiatives.
  • Obama Care never put serious research money towards curing the major diseases that drive high healthcare costs such as high frequency cancers and dementia type diseases.
You cannot resolve any problem unless you understand and address the underlying root causes. No difference here: Obama Care legislation never addressed these listed root causes and thus, has no chance of ever being successful.

But it is not just missing the root causes of our healthcare costs that makes Obama Care so horrible. It resulted in millions of Americans losing access to their favored doctors, hospitals, and insurance policies. It has caused insurance premiums, deductibles and co-pays to escalate substantially. It will likely add trillions of dollars to the national debt. It has exposed millions of Americans to higher than necessary identity theft chances. It has created government bureaucracies that are wastefully spending taxpayer wealth and being exploited by criminal elements. It has stifled economic growth and job creation.

These are just a sample of the types of idiocy that we have been reviewing for the past several years in this blog relative to Obama Care., To read those past posts, just enter the phrase, “the unfolding disaster,” in the search box above.

Today we will finish up the latest disasters from Obama Care and spend some time reviewing the personal stress, trauma, and expense that Obama Care has introduced into the lives of our friends, family members, and neighbors:

1) One of the potentially good things Obama Care said it wanted to do was to financially penalize smokers in order to nudge them towards stopping their smoking habit and get healthier. It was a good idea but as always, a horrible approach to resolving the issue.

As we have discussed many times, Obama failed in his healthcare legislation because he tried to solve a public health problem with a bad insurance approach. His plan was to force smokers to pay more for Obama Care insurance policies but the law has no way of checking if Obama Care policy owners who were smokers were actually being honest. According to a recent article by Kaiser Health Services:

  • Independent surveys estimate that 17% of Idaho residents are smokers but only 3% of Idaho Obama Care policy owners say they are smokers.
  • In Kentucky, more than one in four state residents smoke but only 11% of Obama Care policy holders in the state are paying the smokers’ surcharge on their insurance premiums.
  • In Minnesota, 15% of state residents smoke but only 5% of Obama Care policy holders in the state are stating they are smokers and paying the surcharge.
  • While 17% of all Americans are smokers, only 7% of Obama Care policy holders nationwide are paying the smoker surcharge.
So we have either a major statistical fluke or massive lying by Obama Care smokers which defeats the whole purpose of Obama Care, to get smokers to stop smoking by forcing them to pay more for insurance. Rather than focusing on getting smokers to actually quit smoking with smoking cessation strategies, we end up with millions of Americans turning into liars to save some money and doing nothing to stop smoking.

As a result of this lack of common sense, non-smokers who have Obama Care policies will end up paying more for their insurance coverage going forward since the Obama Care mechanics never found a way to make smokers pay for their probable higher healthcare and medical costs down the road. Just another unfolding disaster.

2) Let’s finish this month’s review of the unfolding disasters of Obama Care of personal stories of horror that Obama Care spawned. We have done this before in other Obama Care posts based on stories of real people from the following website:

www.ourhealthcarestories.com

You will see many of the problems that we have discussed before: higher premium costs, higher deductible costs, more narrow doctor and hospital networks, loss of access to favorite doctors and hospitals, loss of insurance from their employees, etc. This is the reality that Obama Care has caused at the individual and family level (My emphasis added):

ED -OHIO: Even after the administration made hundreds of improvements to the troubled Obamacare website, many people are still encountering difficulty. Ed Anderson, a graphic designer from Columbus, Ohio, who was recently bumped from his wife’s insurance policy for reasons relating to the new law, discovered that his family’s monthly premiums will double even if he chooses the most inexpensive plan available to him through the new federal insurance exchange in his state.


Anderson said he and his wife currently pay a monthly premium of $460 through Blue Cross Blue Shield. But now that he can no longer stay on his wife’s plan, he will have to get his own coverage. The most inexpensive option would cost him a $428 monthly premium. And he and his wife can’t qualify for a federal subsidy because their joint income exceeds the cutoff. The new insurance policy will cost the Andersons an extra $5,000 a year in premiums alone.

“When you’re trying to keep your house, pay car insurance and put your kid through college, it’s tough,” Anderson said. Everything we do is going to be affected by this. Getting groceries, eating out. Going anywhere. It’s just crazy.”

MARCUS - SOUTH DAKOTA: The problem is that millions of Americans, like me, simply cannot afford insurance. The estimates for mid-level plans by the Kaiser Family Foundation (I’d check directly on Healthcare.gov, but the site has crashed every day so far since Oct. 1), show that premiums for my family of five will cost almost $300 a month after subsidies. When it comes to my family’s budget, you might as well be asking me for $3,000,000 a month. There is no way that my family can afford to throw away that much money every month for a plan that still has a high deductible.

[. . .] My point is that we can throw all the insurance money we want at health care, but it won’t solve the problem of getting Americans (especially low-income Americans) the medical care we need. Until the cost of health care is dealt with, the individual mandate will just be another financial burden weakening an already-fragile working class.

JANETTE - CALIFORNIA: The chiropractor who expects her premiums to rise, the 60s-something company manager who has to pay for maternity coverage, the Simi Valley contractor and many others who make at least $46,000 a year -- they all pound away at the same rhythm.

They say the middle class is once again getting tattooed, this time by President Barack Obama's health care reform. "However you look at it, the son of a gun lied to us," said Janette Ramsey, a Bakersfield business owner with a weekend home in Ventura. She's losing her current coverage and expects to pay $50 more a month for a policy with nearly double the deductible.

"I think it's an abomination," she said. "... I'm going to pay more and get 100 percent less."

ERIN - MASSACHUSETTS: I lost coverage with doctors in my area. It's not right and it's not fair. The current federal government and their policies are detrimental to the health of my business and my family.

STEVE - WASHINGTON: My out of pocket co-pays have almost tripled... :{ !!!

LYNN - ILLINOIS: Thanks to OBAMACARE many of us will lose our employee health insurance due to the cost rose 60% in 2 years. Starting 2015 we will be left to find our own coverage.

DR. DANIEL CRAVIOTTO - CALIFORNIA: Daniel is a physician who wrote an op-ed in WSJ expressing his frustration with ObamaCare: 

The Centers for Medicare and Medicaid Services dictates that we must use an electronic health record (EHR) or be penalized with lower reimbursements in the future. There are "meaningful use" criteria whereby the Centers for Medicare and Medicaid Services tells us as physicians what we need to include in the electronic health record or we will not be subsidized the cost of converting to the electronic system and we will be penalized by lower reimbursements.

Across the country, doctors waste precious time filling in unnecessary electronic-record fields just to satisfy a regulatory measure. I personally spend two hours a day dictating and documenting electronic health records just so I can be paid and not face a government audit. Is that the best use of time for a highly trained surgical specialist?

[. . .] 

Meanwhile, our Medicare and Medicaid reimbursements have significantly declined, let alone kept up with inflation. In orthopedic surgery, for example, Medicare reimbursement for a total knee replacement decreased by about 68% between 1992 and 2010, based on the value of 1992 dollars. How can this be? Don't doctors have control over what they charge for their services? For the most part, no. Our medical documentation is pored over and insurers and government then determine the appropriate level of reimbursement.

I don't know about other physicians but I am tired—tired of the mandates, tired of outside interference, tired of anything that unnecessarily interferes with the way I practice medicine. No other profession would put up with this kind of scrutiny and coercion from outside forces. The legal profession would not. The labor unions would not. We as physicians continue to plod along and take care of our patients while those on the outside continue to intrude and interfere with the practice of medicine.

That will do it for this month’s Obama Care disasters. A smoker penalty that penalizes no one and stories of hardship and heartbreak across the country because of what Obama Care has done to millions of Americans. Still no doubt in my mind that this is the worst piece of legislation ever passed by Washington. More disasters sure to come by next month.


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It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.

Please visit the following sites for freedom:

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http://www.cato.org
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Monday, December 16, 2013

December, 2013, The Unfolding Disaster That Is Obama Care Update, Part 2: Insurance But No Medicine, More Identity Theft Problems, The Nullify Crusade and More

Yesterday, was the first in what promises to be a long series of posts that document and analyze the latest fiascos being spawned out of the Obama Care legislation. It seems that every day another bombshell disaster is uncovered, caused by a piece of legislation that the Washington class did not read, did not understand, and probably did not write, delegating that job to lobbyists and insurance companies.

We also learned that many Americans, even if they have Obama Care health insurance coverage, will not be able to see the doctor they want to see and use or will not have access to some of the finest hospitals in the country. In order to reduce costs as much as possible, the legislation allows insurance companies to restrict insurance coverage to less costly and quite possibly less quality doctors and hospitals. We also learned that many, many doctors are voluntarily not joining Obama Care exchanges or are retiring early to avoid the hassles of Obama Care.

The bad news continues today:

1) The National Journal recently reported on a investigative report done by station KSTP, a Minnesota ABC station. They found that many state-run ObamaCcare health-care exchanges are vulnerable to a certain type of Wi-Fi hacker attack that enables computer hackers to intercept usernames and passwords.

The findings come from a Mr. Mark Lanterman, the CEO and chief technology officer of Computer Forensic Services. His company ran simulated hacker attacks for KSTP. They found that state-run Obama Care exchanges in Minnesota, Hawaii, Nevada, Colorado, New Mexico, New York, Maryland, and the District of Columbia are vulnerable to hackers and identity theft criminal elements, just one other serious worry when it comes to the failed legislation known as Obama Care. 

2) First, millions of Americans found out that they could not keep their current insurance policy as promised by the President. Then many Americans found out that they would not be able to keep their favorite doctors in an Obama Care world. Then the found out that they might not get access to their favorite hospitals in an Obama Care world.

Now, according to a recent report in Forbes, they may not be able to keep getting access to their needed medicines in an Obama Care world. Apparently, in an attempt to keep health insurance costs down, many of the Obama Care health insurance policies are not carrying the full array of medicines that current policies are carrying: 
  • “If you like your medicines, you may not be able to keep them under Obamacare,” health policy analyst Scott Gottlieb wrote in a Forbes column. “Health plans are cheapening their drug formularies – just like they cheapened their networks of doctors. That’s how they’re paying for the benefits that President Obama promised, everything from free contraception to a leveling of premiums between older (and typically costlier) beneficiaries, and younger consumers.”
  • And even if the health insurance company carrying the Obama Care policy does agree to pay for certain drugs, you may have to opt for a higher costing policy like the Obama care silver level policies to get your medicines paid for. If you only have the cheapest, bronze levels policies you may still be shut out of the drug you need.
  • Apparently, you can appeal your case to the Federal government if a needed drug is not covered by your policy, but according to Forbes, that appeal process can take years. During that time, you can either go without the drug or pay for it yourself. If your appeal fails, you are on the hook for 100% of the medicine’s cost.
  • As an added insult, if a person has to pay for a drug not covered by their Obama Care insurance policy, that cost does not even help reduce their deductibles or out of pocket limits.
Just another example of the adage where the operation was a success (i.e. the person was able to get health insurance coverage) but the patient died (i.e. their policy did not pay for the medicine that person needed to stay alive). Pathetic piece of legislation.

3) On December 9, 2013, CBS Morning News reported on another troubling aspect of Obama Care, first reported by the Wall Street Journal: skyrocketing deductible levels, that level at which a insurance policy holder has to pay 100% of medical costs up to that deductible level before getting financial help from their Obama Care insurance policy. 

Key findings of the CBS report and Journal report include:
  • The average deductible level in Obama Care insurance policies is $5,081 a year. In other words, after paying monthly deductibles for the privilege of having an Obama Care policy, you then have to pay at least another $5,000 before seeing any benefit from that policy.
  • The Wall Street Journal article detailed how the analysis from HealthPocket Inc., a company that compares health-insurance plans for consumers, analyzed the health care plans in 34 out of the 36 states that haven't set up their own exchanges under the Obama Care legislation. 
  • Their report also proved that the $5081 average cost is "42% higher than the average deductible of $3,589 for an individually purchased plan in 2013 before much of the federal law took effect."
  • The Wall Street Journal writers also noted how "'cost-sharing' subsidies to help pay deductibles are available to people who earn up to 2.5 times the poverty level....[but] the cost-sharing subsidies for deductibles don't apply to the bronze policies."
Think about a young kid/college grad just starting out in their career. He or she cannot afford a higher priced Obama care plan, they have to struggle with a so-called bronze plan, likely not being able to afford anything above bronze. Not only are the monthly premiums a strain on their budget but now they will get no help in covering their deductible costs which are now 42% higher going forward under Obama Care than they were prior to Obama Care. How does that make sense?

Makes no sense except for the fact that Obama Care was set up to screw the younger generation so that they pay more to subsidize older folks who do not have health care insurance and to pay for Obama Care mandated elements of health insurance, e.g. contraception and pre natal care, for many people that have absolutely no need for such coverage. 

4) An interesting effort is gaining steam in South Carolina’s state government. Lawmakers in South Carolina are pressing forward with state government legislation that would eliminate Obama Care in the state. The “South Carolina Freedom of Health Care Protection Act” was introduced in April and passed in the state’s House of Representatives by a 65-34 vote in June. The pending legislation is expected to head to the state Senate around Jan.14 where if it is passed, it would then go Republican Governor Nikki Haley to be signed into law.

Central to the pending legislation is a prohibition of state agencies, employees, officers and employees from implementing any part of Obama Care. The bill would outlaw state health-care exchanges and would instead issue tax deductions to individuals instead of the tax penalties they would face for not complying with the ACA. 

I am not a legal scholar so I have no idea if this attempt to “nullify“ Obama Care, which I understand has some standing and chance of success within the tenets of the Constitution, will succeed. However, the state politicians in South Carolina recognize what a lousy piece of legislation this truly is, how it is negatively affecting every aspect Americans’ health care lives, and are willing to take this unprecedented effort to shield their constituents from the negative fallout of Obama Care.

Which raises an interesting issue for both the short term Obama Care issue and the longer term central government format:
  • What if the 35 states or so who said no to Obama Care state run exchanges do the same nullify thing and simply ignore Obama Care’s requirements and tenets? 
  • And what if the courts uphold the states’ rights to actually nullify Federal law? 
  • Does the law then collapse from the non-participation of two thirds of the country? 
  • Longer term, can the states then begin to pick and choose what Federal laws they want to obey or not obey? What if the Federal government imposes draconian and un-Constitutional gun control laws on the land? Can the states then nullify that Federal law?
Fascinating scenarios, all because the Washington political class put together a historically pathetic and severely deficient piece of legislation. A piece of legislation that may lead to a state rights Constitutional crisis. 

Enough for today. What depressing lessons did we learn today about Obama Care:
  1. It is still an identity thief’s paradise since industry experts have proven that many of the state Obama Care exchanges can be easily attacked via Wi-Fi networks.
  2. It is now obvious that while one can get health care insurance via Obama Care, there is an increasing probability under Obama Care that your new insurance will not pay for certain, usually expensive, life saving drugs you or your family might need.
  3. A Wall Street Journal analysis has shown that even if you can afford Obama Care health insurance, you may not be able to afford the additional high deductible levels that Obama Care insurance policies come with, negating the monthly premium payments you are paying.
  4. The bill is so bad that at least one state is taking the unprecedented move to go down the “nullify” road to totally block Obama Care’s implementation in its state, a move likely to spread to other states. eventually end up in the courts and likely to create a Constitutional crisis in the country.
Wow, identify theft crisis, Constitutional crisis, high deductible crisis, and lack of medicine coverage crisis. Yeah, this is not going to end well or neatly. More Obama Care crises tomorrow.

Our book, "Love My Country, Loathe My Government - Fifty First Steps To Restoring Our Freedom And Destroying The American Political Class" is now available at:

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It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.

Please visit the following sites for freedom:

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http://www.reason.com
http://www.cato.org
http://www.robertringer.com/
http://www.youtube.com/watch?v=08j0sYUOb5w


Monday, August 27, 2012

Obama Care - Still Constitutional and Still a Disaster: Part 4 - Bifurcating Medical Care and Concierge Medicine

We have spent the past several days reviewing why Obama Care is such a disaster, discussions that we will summarize tomorrow as we wrap up this depressing four part series on the disaster that is Obama Care. The past two days have been my thoughts and analysis based on my reading, research, and understanding of what Obama Care is about to do to just about every American.

However, I am by no means an expert on health care, just an average American who cares about his own family's future health care needs, the health care of friends and other Americans, and the fiscal future of our country and democracy. Today, I will present some work that has been done by an expert in the field of health care, as reported in a recent edition of the Wall Street Journal. 

John Goodman is president of the National Center for Policy Analysis and the author of: "Priceless: Curing the Healthcare Crisis" (Independent Institute, 2012). He wrote the following insightful analysis for the August 14, 2012 edition of the Wall Street Journal, "Why The Doctor Can't See You."

If you do not believe what I have been reviewing the past couple of days, take a look at what an expert thinks is going to happen under Obama Care and do two things for you own good:
  1. Don't ever get sick.
  2. Be very, very scared.

*******************************************
August 14, 2012, 7:19 p.m. ET


John C. Goodman: "Why the Doctor Can't See You"

The demand for health care under ObamaCare will increase dramatically. The supply of physicians won't. Get ready for a two-tier system of medical care.
Are you having trouble finding a doctor who will see you? If not, give it another year and a half. A doctor shortage is on its way.

Most provisions of the Obama health law kick in on Jan. 1, 2014. Within the decade after that, an additional 30 million people are expected to acquire health plans—and if the economic studies are correct, they will try to double their use of the health-care system.

Meanwhile, the administration never seems to tire of reminding seniors that they are entitled to a free annual checkup. Its new campaign is focused on women. Thanks to health reform, they are being told, they will have access to free breast and pelvic exams and even free contraceptives. Once ObamaCare fully takes effect, all of us will be entitled to a long list of preventive services—with no deductible or copayment.

Here is the problem: The health-care system can't possibly deliver on the huge increase in demand for primary-care services. The original ObamaCare bill actually had a line item for increased doctor training. But this provision was zeroed out before passage, probably to keep down the cost of health reform. The result will be gridlock.

Take preventive care. ObamaCare says that health insurance must cover the tests and procedures recommended by the U.S. Preventive Services Task Force. What would that involve? In the American Journal of Public Health (2003), scholars at Duke University calculated that arranging for and counseling patients about all those screenings would require 1,773 hours of the average primary-care physician's time each year, or 7.4 hours per working day. 

And all of this time is time spent searching for problems and talking about the search. If the screenings turn up a real problem, there will have to be more testing and more counseling. Bottom line: To meet the promise of free preventive care nationwide, every family doctor in America would have to work full-time delivering it, leaving no time for all the other things they need to do.

When demand exceeds supply in a normal market, the price rises until it reaches a market-clearing level. But in this country, as in other developed nations, Americans do not primarily pay for care with their own money. They pay with time.

How long does it take you on the phone to make an appointment to see a doctor? How many days do you have to wait before she can see you? How long does it take to get to the doctor's office? Once there, how long do you have to wait before being seen? These are all non-price barriers to care, and there is substantial evidence that they are more important in deterring care than the fee the doctor charges, even for low-income patients.

For example, the average wait to see a new family doctor in this country is just under three weeks, according to a 2009 survey by medical consultancy Merritt Hawkins. But in Boston, Mass.—which enacted a law under Gov. Mitt Romney that established near-universal coverage—the wait is about two months.

When people cannot find a primary-care physician who will see them in a reasonable length of time, all too often they go to hospital emergency rooms. Yet a 2007 study of California in the Annals of Emergency Medicine showed that up to 20% of the patients who entered an emergency room left without ever seeing a doctor, because they got tired of waiting. Be prepared for that situation to get worse.

When demand exceeds supply, doctors have a great deal of flexibility about who they see and when they see them. Not surprisingly, they tend to see those patients first who pay the highest fees. A New York Times survey of dermatologists in 2008 for example, found an extensive two-tiered system. For patients in need of services covered by Medicare, the typical wait to see a doctor was two or three weeks, and the appointments were made by answering machine.

However, for Botox and other treatments not covered by Medicare (and for which patients pay the market price out of pocket), appointments to see those same doctors were often available on the same day, and they were made by live receptionists.

As physicians increasingly have to allocate their time, patients in plans that pay below-market prices will likely wait longest. Those patients will be the elderly and the disabled on Medicare, low-income families on Medicaid, and (if the Massachusetts model is followed) people with subsidized insurance acquired in ObamaCare's newly created health insurance exchanges.

Their wait will only become longer as more and more Americans turn to concierge medicine for their care. Although the model differs from region to region and doctor to doctor, concierge medicine basically means that patients pay doctors to be their agents, rather than the agents of third-party-payers such as insurance companies or government bureaucracies.

For a fee of roughly $1,500 to $2,000, for example, a Medicare patient can form a new relationship with a doctor. This usually includes same day or next-day appointments. It also usually means that patients can talk with their physicians by telephone and email. The physician helps the patient obtain tests, make appointments with specialists and in other ways negotiate an increasingly bureaucratic health-care system.

Here is the problem. A typical primary-care physician has about 2,500 patients (according to a 2009 study by the Centers for Disease Control and Prevention), but when he opens a concierge practice, he'll typically take about 500 patients with him (according to MDVIP, the largest organization of concierge doctors): That's about all he can handle, given the extra time and attention those patients are going to expect. But the 2,000 patients left behind now must find another physician. So in general, as concierge care grows, the strain on the rest of the system will become greater.

I predict that in the next several years concierge medicine will grow rapidly, and every senior who can afford one will have a concierge doctor. A lot of non-seniors will as well. We will quickly evolve into a two-tiered health-care system, with those who can afford it getting more care and better care.

In the meantime, the most vulnerable populations will have less access to care than they had before ObamaCare became law.

****************************************

Don't think this will happen? Consider an August 6, 2012 article from the Washington Post. It discusses the research and analysis of Sandra Decker, an economist with the Center for Disease Control. She went through the 2011 National Ambulatory Medical Care Survey, which asks thousands of doctors whether they would accept new Medicaid patients.

What she found could could reinforce the concept discussed above: 31% of the doctors in the survey said they will not be accepting new Medicaid patients, significantly higher than the percentage who said they will not be accepting new private insurance or Medicare patients.

Ms. Decker found that there is a somewhat strong relationship between doctors' willingness to take on Medicaid patients and the amount of money they get from Medicaid to take on these patients. In other words, doctors that get paid more to handle these types of patients are more likely to see these types of patients. Obvious.

Thus, this marketing rationing is already going on and will likely get worse and devolve into the two tier system described above.

Again, EVERYONE in this country should be able to get reasonably priced and reasonably available health care. Unfortunately, given how poorly Obama Care was thought out and written, this goal is not going to happen as a result of this legislation.


We invite all readers of this blog to visit our new website, "The United States Of Purple," at:

http://www.unitedstatesofpurple.com/

The United States of Purple is a new grass roots approach to filling the office of President of The United States by focusing on the restoration of freedom in the United States, focusing on problem solving skills and results vs. personal political enrichment, and imposing term limits on all future Federal politicians. No more red states, no more blue states, just one United States Of America under the banner of Purple.

The United States Of Purple's website also provides you the formal opportunity to sign a petition to begin the process of implementing a Constitutional amendment to impose fixed term limits on all Federally elected politicians. Only by turning out the existing political class can we have a chance of addressing and finally resolving the major issues of or times.

Our book, "Love My Country, Loathe My Government - Fifty First Steps To Restoring Our Freedom And Destroying The American Political Class" is now available at www.loathemygovernment.com. It is also available online at Amazon and Barnes and Noble. Please pass our message of freedom onward. Let your friends and family know about our websites and blogs, ask your library to carry the book, and respect freedom for both yourselves and others everyday.
Please visit the following sites for freedom:

http://www.cato.org/
http://www.robertringer.com/
http://realpolichick.blogspot.com/
http://www.flipcongress2010.com/
http://www.reason.com/
http://www.repealamendment/