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Getbig Main Boards => Politics and Political Issues Board => Topic started by: Soul Crusher on April 13, 2010, 06:29:54 AM
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Medical Schools Can't Keep Up
As Ranks of Insured Expand, Nation Faces Shortage of 150,000 Doctors in 15 Years.
www.wsj.com
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First-year resident Dr. Rachel Seay, third from left, circumcises a newborn in George Washington University Hospital's delivery wing on March 12.
The new federal health-care law has raised the stakes for hospitals and schools already scrambling to train more doctors.
Experts warn there won't be enough doctors to treat the millions of people newly insured under the law. At current graduation and training rates, the nation could face a shortage of as many as 150,000 doctors in the next 15 years, according to the Association of American Medical Colleges.
That shortfall is predicted despite a push by teaching hospitals and medical schools to boost the number of U.S. doctors, which now totals about 954,000.
The greatest demand will be for primary-care physicians. These general practitioners, internists, family physicians and pediatricians will have a larger role under the new law, coordinating care for each patient.
The U.S. has 352,908 primary-care doctors now, and the college association estimates that 45,000 more will be needed by 2020. But the number of medical-school students entering family medicine fell more than a quarter between 2002 and 2007.
A shortage of primary-care and other physicians could mean more-limited access to health care and longer wait times for patients.
Proponents of the new health-care law say it does attempt to address the physician shortage. The law offers sweeteners to encourage more people to enter medical professions, and a 10% Medicare pay boost for primary-care doctors.
Meanwhile, a number of new medical schools have opened around the country recently. As of last October, four new medical schools enrolled a total of about 190 students, and 12 medical schools raised the enrollment of first-year students by a total of 150 slots, according to the AAMC. Some 18,000 students entered U.S. medical schools in the fall of 2009, the AAMC says.
But medical colleges and hospitals warn that these efforts will hit a big bottleneck: There is a shortage of medical resident positions. The residency is the minimum three-year period when medical-school graduates train in hospitals and clinics.
There are about 110,000 resident positions in the U.S., according to the AAMC. Teaching hospitals rely heavily on Medicare funding to pay for these slots. In 1997, Congress imposed a cap on funding for medical residencies, which hospitals say has increasingly hurt their ability to expand the number of positions.
Medicare pays $9.1 billion a year to teaching hospitals, which goes toward resident salaries and direct teaching costs, as well as the higher operating costs associated with teaching hospitals, which tend to see the sickest and most costly patients.
Doctors' groups and medical schools had hoped that the new health-care law, passed in March, would increase the number of funded residency slots, but such a provision didn't make it into the final bill.
"It will probably take 10 years to even make a dent into the number of doctors that we need out there," said Atul Grover, the AAMC's chief advocacy officer.
While doctors trained in other countries could theoretically help the primary-care shortage, they hit the same bottleneck with resident slots, because they must still complete a U.S. residency in order to get a license to practice medicine independently in the U.S. In the 2010 class of residents, some 13% of slots are filled by non-U.S. citizens who completed medical school outside the U.S.
One provision in the law attempts to address residencies. Since some residency slots go unfilled each year, the law will pool the funding for unused slots and redistribute it to other institutions, with the majority of these slots going to primary-care or general-surgery residencies. The slot redistribution, in effect, will create additional residencies, because previously unfilled positions will now be used, according to the Centers for Medicare and Medicaid Services.
Some efforts by educators are focused on boosting the number of primary-care doctors. The University of Arkansas for Medical Sciences anticipates the state will need 350 more primary-care doctors in the next five years. So it raised its class size by 24 students last year, beyond the 150 previous annual admissions.
In addition, the university opened a satellite medical campus in Fayetteville to give six third-year students additional clinical-training opportunities, said Richard Wheeler, executive associate dean for academic affairs. The school asks students to commit to entering rural medicine, and the school has 73 people in the program.
"We've tried to make sure the attitude of students going into primary care has changed," said Dr. Wheeler. "To make sure primary care is a respected specialty to go into."
Montefiore Medical Center, the university hospital for Albert Einstein College of Medicine in New York, has 1,220 residency slots. Since the 1970s, Montefiore has encouraged residents to work a few days a week in community clinics in New York's Bronx borough, where about 64 Montefiore residents a year care for pregnant women, deliver children and provide vaccines. There has been a slight increase in the number of residents who ask to join the program, said Peter Selwyn, chairman of Montefiore's department of family and social medicine.
One is Justin Sanders, a 2007 graduate of the University of Vermont College of Medicine who is a second-year resident at Montefiore. In recent weeks, he has been caring for children he helped deliver. He said more doctors are needed in his area, but acknowledged that "primary-care residencies are not in the sexier end. A lot of these [specialty] fields are a lot sexier to students with high debt burdens."
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Care Delayed = Care Denied = more people dying.
This all will result in worse quality medicine and more lawsuits.
Great jobs you liberal morons.
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I thought Hussein said "health care passed and aaaaaahhhhhhhh,the sky didnt fall,ummmmm,the birds were chirping,hmmmmmm,it was a nice day".I guess not so much.
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Don't you two know how lib policies work by now? They'll just enact another law relaxing the standards to get into medical school. 15 yrs from now, after I get my online MD, you can both avoid the DMV. I'll give you each TWO free consults, with ONE follow-up.
240 gets one free consult, and a telephone follow-up. :D
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Gee great. I can't wait.
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[spin]
What Obama is too humble to say is that he just created demand for 150,000 high paid jobs - in America!
;D
[/spin]
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I'm pretty sure there's something in the bill about student loan recipients (think doctors) will have their student debt forgiven after working 10 years in the public sector
think about how this simple idea can draw in and develop talented people and help the individual while producing benefits for all of society
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I'm pretty sure there's something in the bill about student loan recipients (think doctors) will have their student debt forgiven after working 10 years in the public sector
think about how this simple idea can draw in and develop talented people and help the individual while producing benefits for all of society
Great,sounds like communist Russia.The government will determine where you work,what you do,how much you make and since they took over the program you will have no choice but to take the loan.This is one of the most amazing things to ever happen to this country.TOTAL government control over peoples lives.A very sad state of affairs.
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Great,sounds like communist Russia.The government will determine where you work,what you do,how much you make and since they took over the program you will have no choice but to take the loan.This is one of the most amazing things to ever happen to this country.TOTAL government control over peoples lives.A very sad state of affairs.
Billy: this is exactly what people like Straw, KC, Benny, and other like them CRAVE.
CRADLE TO GRAVE, 24/7, 365, 12 MONTHS A YEAR, MORNING-NOON-NIGHT, GOVT CONTROL.
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Great,sounds like communist Russia.The government will determine where you work,what you do,how much you make and since they took over the program you will have no choice but to take the loan.This is one of the most amazing things to ever happen to this country.TOTAL government control over peoples lives.A very sad state of affairs.
if the government is going to determine where you work then where do you think they will put fat, racist, retard like yourself.
I assume the death panels will deem you unfit to live and send you off to the rendering plant to make glue for children to make collages praising Obama
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if the government is going to determine where you work then where do you think they will put fat, racist, retard like yourself.
I assume the death panels will deem you unfit to live and send you off to the rendering plant to make glue for children to make collages praising Obama
Hopefully the death panels will deal with the reckless gay men who screw each other like rabbits in dirty bar bathrooms and spread disease first.
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barney frank and his BF got into a screaming match on an airplane with 2 female sister doctors yesterday... over obamacare
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barney frank and his BF got into a screaming match on an airplane with 2 female sister doctors yesterday... over obamacare
I wish they would have formed their own death panel and euthanize those two disgusting POFS.
One is a gay pimp and the other blowhard hack who helped orchestrate our financial meltdown.
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if the government is going to determine where you work then where to you think they will put fat, racist, retard like yourself.
I assume the death panels will deem you unfit to live and send you off to the rendering plant to make glue for children to make collages praising Obama
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WITH THE STUDENT LOAN PROGRAM,THEY FORCE THOSE WHO CANT AFFORD COLLEGE TO TAKE LOANS FROM THE GOVERNMENT,they then dictate where you work,what you make,how much you make until the loan is paid back.If you had a choice between the government and a private loan it would be one thing,but they took over the program to FORCE you to be under the thumb of government which is another step in Obamas PURPOSEFUL destruction of the private sector.
Now,as far as you calling me a racist,Im proud anytime a filthy,limp wristed girl of a liberal calls me a racist.You fools have overused the term that its like blacks calling each other the N word.I like it,I live it.
As fas as me being fat,I will say the same thing to you that Ive said to others.Put your contest pics up against mine.It only matters what you look like contest day.Ive been in 27 bodybuilding shows NEVER placed out of the top three and Im a powerlifter.Last I checked fat guys dont place in national qaulifiers being fat.
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Arizona doctor says Obamacare will force him to close shop
By Gautham Nagesh - The Daily Caller | Published: 04/14/10 at 3:13 AM | Updated: 04/14/10 at 9:48 AM
A notice outside the Scottsdale Skin & Cancer Center in Arizona. Click to expand. (The Daily Caller)
While it may be years before most Americans feel the impact of President Obama’s health-care bill, a few patients in Scottsdale, Ariz., got a small taste of life under Obamacare last week when they arrived at their Dermatologist’s office only to see a sign with the following taped to the front door:
“If you voted for Obamacare, be aware these doors will close before it goes into effect.” The note is signed Joseph M. Scherzer M.D. and includes the following addendum: “****Unless Congress or the Courts repeal the BILL.”
Scherzer, who attended Albert Einstein College of Medicine in New York, has been a practicing Dermatologist in Scottsdale, Ariz., since 1976. Reached yesterday at his office, Dr. Scherzer, 63, said he plans to stop practicing before 2014 when the bill’s full impact will be felt because he refuses to deal with the headache of increased government involvement in health care.
“I’m absolutely serious [about stopping practicing] and it’s not just because I’ll be nearing 65,” Scherzer said. “The stress is what would push me out the door. From what I’ve gathered hearing from my friends and peers, most physicians I’ve heard from feel the same way.”
Scherzer said the bill’s emphasis on punitive measures for physicians not following government-prescribed treatment methods under Medicare would increase his anxiety level to the point he would no longer be able to practice medicine. The maximum fine was previously $10,000; under the bill it will now be capped at $50,000. Scherzer said the fine system makes seeing a Medicare patients a difficult and stressful exercise.
“Doctors have actually committed suicide over these things. There’s no insurance to cover it,” Scherzer said, calling the fine system “tremendously complicated and Frankensteinian.” “It’s absolutely impossible to be certain you’ve complied. I feel like when I see a Medicare patient I have the Sword of Damocles hanging over my head.”
Scherzer said he hasn’t been fined but he was audited by the Centers for Medicare and Medicaid Services several years ago and spent months awaiting their findings. CMS never contacted him with the results of the audit, but he later found out that he had not been fined.
“There was just no contact whatsoever,” he said.
He also takes issue with the Democrats’ argument that much of the waste in the health-care system is driven by a profit motive on the part of physicians.
“The point of socialized medicine is to allow the government to budget the percentage of GDP spent on medical care. They don’t want to admit they are rationing care, so they say doctors are ordering too many tests to make money,” Scherzer said, adding that while there are always a few bad apples, the vast majority of physicians are ethical and do not knowingly order unnecessary tests.
While he identifies as conservative, Scherzer said he has avoided politics for the past decade and that he blames the current poor state of the medical industry on both Democrats and Republicans. However, he plans on ending his political hiatus this week: He’ll be attending his first Tea Party in New York City on Thursday night.
“It’s interesting how every time someone has concerns or opposed the bill you hear the Democratic party call the individual or group liars. It’s almost the mantra,” Scherzer said. “They’re providing disincentives to care that are making the practice of medicine repugnant.”
If you know any other physicians considering retirement due to the pending changes to the health-care system, please have theme-mail Gautham or follow him on Twitter
Tags: Arizona, Doctor, health care bill, Healthcare, Healthcare reform in the United States, Joseph M. Scherzer, Scottsdale, Tea Party
Read more: http://dailycaller.com/2010/04/14/arizona-doctor-says-obamacare-will-force-him-to-close-shop/#ixzz0l5eu90tS
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WITH THE STUDENT LOAN PROGRAM,THEY FORCE THOSE WHO CANT AFFORD COLLEGE TO TAKE LOANS FROM THE GOVERNMENT,they then dictate where you work,what you make,how much you make until the loan is paid back.If you had a choice between the government and a private loan it would be one thing,but they took over the program to FORCE you to be under the thumb of government which is another step in Obamas PURPOSEFUL destruction of the private sector.
Now,as far as you calling me a racist,Im proud anytime a filthy,limp wristed #### of a liberal calls me a racist.You fools have overused the term that its like blacks calling each other the N word.I like it,I live it.
As fas as me being fat,I will say the same thing to you that Ive said to others.Put your contest pics up against mine.It only matters what you look like contest day.Ive been in 27 bodybuilding shows NEVER placed out of the top three and Im a powerlifter.Last I checked fat guys dont place in national qaulifiers being fat.
My god, no only are you stupid but you're incredibly insecure
no one is going to be FORCED to take a loan
plenty of people pay their way through school right now (and in the past) or they will keep doing that
if someone wants a loan they can apply for it just like they always have
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My god, no only are you stupid but you're incredibly insecure
no one is going to be FORCED to take a loan
plenty of people pay their way through school right now (and in the past) or they will keep doing that
if someone wants a loan they can apply for it just like they always have
They have to apply for it THROUGH THE GOVERNMENT .Private banks are out.Now,I will ask you.When we gave the banks the bailouts and MANY paid them back,we still have Obama dictating what the CEOs can make.If you cant see that the same exact thing will happen with students I dont know what to tell you.This is a plot for government controll.
Mny do pay their way through college.How many doctors do it?Once you accept the government money,they own you,just like they own the banks.
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Hopefully the death panels will deal with the reckless gay men who screw each other like rabbits in dirty bar bathrooms and spread disease first.
Repubs? Yeah, they will be the first to go.
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Repubs? Yeah, they will be the first to go.
Like Eric Massa?
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They have to apply for it THROUGH THE GOVERNMENT .Private banks are out.Now,I will ask you.When we gave the banks the bailouts and MANY paid them back,we still have Obama dictating what the CEOs can make.If you cant see that the same exact thing will happen with students I dont know what to tell you.This is a plot for government controll.
Mny do pay their way through college.How many doctors do it?Once you accept the government money,they own you,just like they own the banks.
nothing is stopping private banks from making student loans
the only thing that has changed is that the government will no longer be giving incentives and loan guarantees to private banks
that's it
why should the tax payers be giving "no lose" deals to banks to get them to lend money?
btw - Clinton started direct lending to students and I also believe debt forgiveness for working in the public sector so this is nothing new
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Why should the govt be in the school loan business at all?
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nothing is stopping private banks from making student loans
the only thing that has changed is that the government will no longer be giving incentives and loan guarantees to private banks
that's it
why should the tax payers be giving "no lose" deals to banks to get them to lend money?
btw - Clinton started direct lending to students and I also believe debt forgiveness for working in the public sector so this is nothing new
What bank will continue to do this without the guarantees.I find it amusing you ask why tax payers pay for banks to give no lose loans,when now we pay for the entire thing from jump street.We are already broke,now we take on the student loan program[which ,like EVERYTHING the government does is guaranteed to fail]and stand to lose even more.
NONE of this is about money,its about Obamas contiinued attempt to run and control everything.Just like health care which wasnt about health care.
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What bank will continue to do this without the guarantees.I find it amusing you ask why tax payers pay for banks to give no lose loans,when now we pay for the entire thing from jump street.We are already broke,now we take on the student loan program[which ,like EVERYTHING the government does is guaranteed to fail]and stand to lose even more.
NONE of this is about money,its about Obamas contiinued attempt to run and control everything.Just like health care which wasnt about health care.
banks make loans everyday without having govt guarantees
are you saying the government should be in the business of guaranteing profits for banks?
how about other private businesses - should the governement make sure they have guaranteed profits too?
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banks make loans everyday without having govt guarantees
are you saying the government should be in the business of guaranteing profits for banks?
how about other private businesses - should the governement make sure they have guaranteed profits too?
Yes, but banks often get collateral in the form of real property, accounts receivable, or otherwise.
No, the taxpayer is on the hook.
No thanks.
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Why should the govt be in the school loan business at all?
you can't see where the government might have some incentive to have an educated population?
if nothing else, do you see any value to our national defense?
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Yes, but banks often get collateral in the form of real property, accounts receivable, or otherwise.
No, the taxpayer is on the hook.
No thanks.
jesus man, how many times have we had this discussion
under the old system the government guaranteed the bank against defaults on student loans
the banks had a "no lose" sweetheart deal
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The govt is causing rampant tuition inflation with this nonsense.
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any statistics showing the change in tuitions over the last five to ten years for public universities? california schools have been pretty stagnant and there was a lot of rage over the recent tution increase
- El Chapo
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The govt is causing rampant tuition inflation with this nonsense.
oh really?
the legislation that just passed has caused rampant tuition inflation?
feel free to show us any proof of that statement
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oh really?
the legislation that just passed has caused rampant tuition inflation?
feel free to show us any proof of that statement
The govts' involvement and guarantees cause inflation. Geez - Don't they teach economics any more?
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The govts' involvement and guarantees cause inflation. Geez - Don't they teach economics any more?
geez - could you actually show me some proof of your statement?
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http://www.cato.org/pub_display.php?pub_id=9186
http://www.businessandmedia.org/articles/2009/20090824141933.aspx
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Like Eric Massa?
Like Craig, and Foley, and etc.. etc... etc...
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Like Craig, and Foley, and etc.. etc... etc...
Like Blagojevich, Spitzer, Kilpatrick, etc., etc. . . .
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Like Blagojevich, Spitzer, Kilpatrick, etc., etc. . . .
They were gay men?
Or are you just making an irrelevant reply again?
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They were gay men?
Or are you just making an irrelevant reply again?
They were slimeball public officials. Just correcting the partisan nonsense again.
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They were slimeball public officials. Just correcting the partisan nonsense again.
333 and I were making references to homos.
Now if you want to play the partisan pervert game, I can do that as well. The list for the Repubs will be longer than the Dems. Want to go that route?
Otherwise you can try harder to follow suit in regards to the topic discussion of two other people instead of relying on "nonsense".
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Straw, refer to some of Peter Schiff's videos on this topic.
The net effect will be that banks will drop out of student loans. It will be controlled by the government as this program is implimented. Government has also decided to increase Pell grants to "disadvantaged students" and disproportionally distribute money to minority colleges. So...again we have government allocating tax dollars in persuit of their idea of fairness.
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333 and I were making references to homos.
Now if you want to play the partisan pervert game, I can do that as well. The list for the Repubs will be longer than the Dems. Want to go that route?
Otherwise you can try harder to follow suit in regards to the topic discussion of two other people instead of relying on "nonsense".
McGreevy, Frank, etc., etc. Better? I've already had the discussion about which list is longer. lol. That is so stupid. Don't be such a hack.
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sounds like now is the time for all you unemployed people to seek work in the medical fields. lots of possibilities!
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McGreevy, Frank, etc., etc. Better? I've already had the discussion about which list is longer. lol. That is so stupid. Don't be such a hack.
You attempted to have a discussion about which list is longer. If you call running in circles while posting "I am not taking time to look it up to support my claim"... type of posts to be a discussion. The list now, as it was then, clearly has more Repubs as sexual perverts than the other party.
Last I checked, Frank wasn't in any sexual scandal and had to leave office over it. Try harder.
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http://www.cato.org/pub_display.php?pub_id=9186
http://www.businessandmedia.org/articles/2009/20090824141933.aspx
I've read both links and both are merely the opinion of right wing think tanks (Cato Institute and the American Enterprise Institute).
While I agree that availabilty of credit can create an asset bubble (or inflation) it's a chicken and egg argument (IMO) with regards to student loans for higher education. How about considering that higher demand (more people want a college education, more demand from overseas students) , higher expenses (think health insurance for one), can also result in higher costs and with higher costs comes larger portfolios of student loans.
I think it's in the best interest of the country to have a highly educated populace and even from a purely monetary point of view the more education you have the more likely you will have a higher paying job and pay more taxes.
Personally, I think Repubs really would prefer that people be less educated and that's the real reason they are aga
inst student loan programs.
There have been a few recent studies that show a direct correlation with less education and voting Republican?
We all know that Republicans put party before country so they would have an incentive to want a less educated population.
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I've read both links and both are merely the opinion of right wing think tanks (Cato Institute and the American Enterprise Institute).
While I agree that availabilty of credit can create an asset bubble (or inflation) it's a chicken and egg argument (IMO) with regards to student loans for higher education. How about considering that higher demand (more people want a college education, more demand from overseas students) , higher expenses (think health insurance for one), can also result in higher costs and with higher costs comes larger portfolios of student loans.
I think it's in the best interest of the country to have a highly educated populace and even from a purely monetary point of view the more education you have the more likely you will have a higher paying job and pay more taxes.
Personally, I think Repubs really would prefer that people be less educated and that's the real reason they are aga
inst student loan programs.
There have been a few recent studies that show a direct correlation with less education and voting Republican?
We all know that Republicans put party before country so they would have an incentive to want a less educated population.
Right, because the Dems dont do the same thing. ::) ::)
That being said, in my mind, it is simply not healthy for young people to be carrying such huge debt loads in their early 20's like we are doing now.
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Right, because the Dems dont do the same thing. ::) ::)
That being said, in my mind, it is simply not healthy for young people to be carrying such huge debt loads in their early 20's like we are doing now.
what "same thing" ?
which party do you think just reformed student loans (hit you can tell by who's happy about and who thinks its another sign of armageddon)
which party do you think Claiborne Pell belonged to?
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If you think either party puts the nation and taxpayers first you are truly delusional.
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If you think either party puts the nation and taxpayers first you are truly delusional.
I'd tend to agree but I think the Dems do is much less than the Repubs
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I'd tend to agree but I think the Dems do is much less than the Repubs
I guess that is why we keep fighting over the same two horrible choices.
You think one is slightly better than the other and I feel the same way. However, att he end of the day we still get insanity.
BTW - you did not comment on the Ron Paul thread to where he is tiesd with Obama.
Would you vote for Ron Paul?
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I guess that is why we keep fighting over the same two horrible choices.
You think one is slightly better than the other and I feel the same way. However, att he end of the day we still get insanity.
BTW - you did not comment on the Ron Paul thread to where he is tiesd with Obama.
Would you vote for Ron Paul?
I can't comment on every thread
no I would most likely not vote for Ron Paul but ultimately it would depend on who else was running
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I can't comment on every thread
no I would most likely not vote for Ron Paul but ultimately it would depend on who else was running
I'm not kidding and meant it to be a serious question. Is there any Repub you could ever see yourself voting for?
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I'm not kidding and meant it to be a serious question. Is there any Repub you could ever see yourself voting for?
I always look at all candidates in any race and choose the person I like
I don't give a shit what party they are in
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I always look at all candidates in any race and choose the person I like
I don't give a shit what party they are in
Have you ever voted for a Repub for perwsident?
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Have you ever voted for a Repub for perwsident?
I voted for Bush against Clinton but back then I was young and already making good money and believed the Repub talking points about how Clinton was going to destroy the economy
I would probably have voted for McCain in 2000 had he been the nominee
I've been watching the Repubs parrot the same talking points on this pending banking legislation and it pisses me off because I think this legislation could be harmful and I wish the Repubs would have an honest disucssion rather than using Frank Luntz talking points, scare tactics and just flat out complete bullshit
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I voted for Bush against Clinton but back then I was young and already making good money and believed the Repub talking points about how Clinton was going to destroy the economy
I would probably have voted for McCain in 2000 had he been the nominee
I've been watching the Repubs parrot the same talking points on this pending banking legislation and it pisses me off because I think this legislation could be harmful and I wish the Repubs would have an honest disucssion rather than using Frank Luntz talking points, scare tactics and just flat out complete bullshit
The current GOP, other than a few members here and there is awful and should be disbanded entirely. Is that clear enough?
BTW as far as Clinton, when Newt and the GOP took over Congress, they were the best Combo I ever can remember.
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The current GOP, other than a few members here and there is awful and should be disbanded entirely. Is that clear enough?
BTW as far as Clinton, when Newt and the GOP took over Congress, they were the best Combo I ever can remember.
clear enough??
I didn't ask you a question
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clear enough??
I didn't ask you a question
I am often accused of being a GOP shill, I hate the GOP and wish they would go away entirely.
But seriously, Newt & Clinton actually got a lot done.
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I am often accused of being a GOP shill, I hate the GOP and wish they would go away entirely.
But seriously, Newt & Clinton actually got a lot done.
I don't think I ever called you a GOP shill (not sure if you're were referring to me).
I've called you a lunatic, mental patient, delusion, idiot, etc...
but I never thought of you as a GOP shill
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I don't think I ever called you a GOP shill (not sure if you're were referring to me).
I've called you a lunatic, mental patient, delusion, idiot, etc...
but I never thought of you as a GOP shill
The feeling is mutual. :-*
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The feeling is mutual. :-*
BULLSHIT
you accuse me of being an Obama and Democratic Shill (or the equivalent) all the time
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BULLSHIT
you accuse me of being an Obama and Democratic Shill (or the equivalent) all the time
No, I was referring to you being delusional.