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Getbig Main Boards => Gossip & Opinions => Topic started by: Coach is Back! on September 28, 2015, 12:19:21 AM

Title: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 12:19:21 AM
A friend of mine in Nor Cal decided to have some food in SF and this was added on to her check. This might fly right over the left-wing wingnuts heads.


Title: Re: What's the matter with this picture..
Post by: 240 is Back on September 28, 2015, 12:34:14 AM
I read the receipt 43 times but never saw the republican alternative plan written anywhere on it.


Trick question?
Title: Re: What's the matter with this picture..
Post by: muscularny on September 28, 2015, 12:40:38 AM
the same crowd that talks about helping the poor all day pisses money away on bs
Title: Re: What's the matter with this picture..
Post by: 240 is Back on September 28, 2015, 12:42:17 AM
$14 for two pancakes?   $2 for a slice of cheese?

I think the bigger issue might be the insane markup.   Are they served by semi-naked supermodels?  That'd make sense, then.
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 28, 2015, 12:43:07 AM
$200 for a meal???

Greedy fucker.
Title: Re: What's the matter with this picture..
Post by: muscularny on September 28, 2015, 12:50:28 AM
$14 for two pancakes?   $2 for a slice of cheese?

I think the bigger issue might be the insane markup.   Are they served by semi-naked supermodels?  That'd make sense, then.
be careful with supermodels there, many girls there do not shave and some prefer their natural scent, the kinda scent that made the blind man say "hi ladies" when he passed the fish store
Title: Re: What's the matter with this picture..
Post by: Method101 on September 28, 2015, 01:08:50 AM
double charged for burger and avocado
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 01:18:02 AM
I read the receipt 43 times but never saw the republican alternative plan written anywhere on it.


Trick question?

I knew this would go right over you're and every other lefties head. You voted for it son.
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 01:19:31 AM
Some dumb mother f***ers in this thread.
Title: Re: What's the matter with this picture..
Post by: devilsmile on September 28, 2015, 01:31:01 AM
Well I dunno what else is on the receipt because I can only see 8 products purchased totaling in 63 bucks plus the tax, so...

if it's an extra 137 bucks of invisible liberal tax I get it


Title: Re: What's the matter with this picture..
Post by: muscularny on September 28, 2015, 01:35:11 AM
Well I dunno what else is on the receipt because I can only see 8 products purchased totaling in 63 bucks plus the tax, so...

if it's an extra 137 bucks of invisible liberal tax I get it



sf healthcare he meant
Title: Re: What's the matter with this picture..
Post by: devilsmile on September 28, 2015, 01:40:45 AM
sf healthcare he meant

so 137 unmentioned dollars on that receipt is tax for san francisco tax??
Title: Re: What's the matter with this picture..
Post by: muscularny on September 28, 2015, 01:42:19 AM
so 137 unmentioned dollars on that receipt is common sense san francicso tax?
simply cut off, more on the top part
Title: Re: What's the matter with this picture..
Post by: devilsmile on September 28, 2015, 01:44:34 AM
simply cut off, more on the top part

yeah I knew half of the receipt wasn't showing. Still don't get it completely, I have a sense but I have no idea really. Something about fucking people over and in the ass for money but I dunno how or what
Title: Re: What's the matter with this picture..
Post by: Pray_4_War on September 28, 2015, 02:05:16 AM
I read the receipt 43 times but never saw the republican alternative plan written anywhere on it.


Trick question?

Here we go again.

Another false premise.  Democunts do something stupid that isn't necessary and(in their mind) if Republicans don't have an equally stupid idea to fix the non-existent problem, then they should shut up about what a shitty mess the Democrat plan is.  Like how it is an utter failure, is costing everyone a fortune, and was merely a ruse to get us to single payer.

Now they are pulling the same shit with the Iran deal.  It would be comical if the stakes weren't so high.
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 28, 2015, 02:12:02 AM
sf healthcare he meant
maybe because the greedy bitch spent $200 on lunch they thought she was going to be needing health care at some point.
Title: Re: What's the matter with this picture..
Post by: 2scared2post on September 28, 2015, 02:14:26 AM
It's about time fat people got taxed.
Title: Re: What's the matter with this picture..
Post by: Yamcha on September 28, 2015, 02:28:19 AM
You choose to live in that shitty state
Title: Re: What's the matter with this picture..
Post by: Tapeworm on September 28, 2015, 04:31:00 AM
Only a nancy would order an apple salad + chicken.  Real men order a chicken salad + apple, hold the apple, hold the salad, and substitute beef for the chicken.
Title: Re: What's the matter with this picture..
Post by: Thin Lizzy on September 28, 2015, 04:38:34 AM
Interesting, that, in the most Liberal city in the country, African-Americans are under-represented, both nationally and statewide.

Apparently, those liberal policies ain't too good for the brothas.


Race   Population   % of Total
Total Population   805,235   100
White   390,387   48
Asian   267,915   33
Hispanic or Latino   121,774   15
Some Other Race   53,021   6
Black or African American   48,870   6
Two or More Races   37,659   4
American Indian   4,024   Below 1%
Native Hawaiian Pacific Islander   3,359   Below 1%
Three or more races   3,343   Below 1%
Native Hawaiian   410   Below 1%
Title: Re: What's the matter with this picture..
Post by: TheShape. on September 28, 2015, 05:34:44 AM
Who pays $14 for a burger anyways?
Title: Re: What's the matter with this picture..
Post by: Grape Ape on September 28, 2015, 05:46:31 AM
I thought avocados were cheap on the west coast.  That's an east coast price.
Title: Re: What's the matter with this picture..
Post by: Man of Steel on September 28, 2015, 06:16:27 AM
I'll be honest, I saw the $9 for SF Healthcare charge first (didn't know what it was), but what really struck me was the $14 for 2 pancakes and $18 for a burger.

Forgive my ignorance, but what is the "Healthcare" charge? 
Title: Re: What's the matter with this picture..
Post by: Man of Steel on September 28, 2015, 06:18:03 AM
I'll be honest, I saw the $9 for SF Healthcare charge first (didn't know what it was), but what really struck me was the $14 for 2 pancakes and $18 for a burger.

Forgive my ignorance, but what is the "Healthcare" charge? 

googled it.....got it
Title: Re: What's the matter with this picture..
Post by: Straw Man on September 28, 2015, 06:24:56 AM
A friend of mine in Nor Cal decided to have some food in SF and this was added on to her check. This might fly right over the left-wing wingnuts heads.




Been around for years now and only in SF and its 4%.
I'd be more pissed about being charged $2 for a slice of cheese and then another $2 for a bit of avocado.  

Joe why are you always whining all the time.  No one is forcing you to eat a meal in SF
Title: Re: What's the matter with this picture..
Post by: muscularny on September 28, 2015, 06:41:11 AM
googled it.....got it
May God Bless You and Your Family for that, AMEN
Title: Re: What's the matter with this picture..
Post by: mr.turbo on September 28, 2015, 06:50:58 AM
Pilot orders Obama out of chopper didn't salute marine                                      Pilot orders Obama out of chopper didn't salute marine                                Pilot orders Obama out of chopper didn't salute marine
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 08:42:06 AM
Been around for years now and only in SF and its 4%.
I'd be more pissed about being charged $2 for a slice of cheese and then another $2 for a bit of avocado.  

Joe why are you always whining all the time.  No one is forcing you to eat a meal in SF


Just another way stealing money to add to the governments revenue stream of thievery.
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 08:55:37 AM
maybe because the greedy bitch spent $200 on lunch they thought she was going to be needing health care at some point.

How is she greedy? It's her money, she earned it. She can do whatever she wants with it. If she wants to spend $200 for a sandwich that's her deal not yours or anyone else's. It's when the government is already reaming you for a socialist healthcare bill that no one wanted then sneaking another revenue stream.
Title: Re: What's the matter with this picture..
Post by: theworm on September 28, 2015, 09:23:42 AM
Here we go again.

Another false premise.  Democunts do something stupid that isn't necessary and(in their mind) if Republicans don't have an equally stupid idea to fix the non-existent problem, then they should shut up about what a shitty mess the Democrat plan is.  Like how it is an utter failure, is costing everyone a fortune, and was merely a ruse to get us to single payer.

Now they are pulling the same shit with the Iran deal.  It would be comical if the stakes weren't so high.


Agree!

I really like the republican model of cutting taxes, that equals more jobs and more money for the common folk.  More money and they can get their own healthcare.

The dems are very illogical, they want minimal wage to be 15, why stop there?  Why not name it 1000 an hour?   Cause they have no idea how the economy works.
Title: Re: What's the matter with this picture..
Post by: OB1 on September 28, 2015, 11:36:40 AM
Who pays $14 for a burger anyways?

Never would support such outrageous prices.
Bad joke this.
It better be gold at that price.
Title: Re: What's the matter with this picture..
Post by: Grape Ape on September 28, 2015, 11:38:11 AM
Never would support such outrageous prices.
Bad joke this.
It better be gold at that price.


Ridiculous to think a gold hamburger wouldn't cost much more than $14
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 28, 2015, 11:41:02 AM
How is she greedy? It's her money, she earned it. She can do whatever she wants with it. If she wants to spend $200 for a sandwich that's her deal not yours or anyone else's. It's when the government is already reaming you for a socialist healthcare bill that no one wanted then sneaking another revenue stream.

You found that on the web, its not a $200 bill for a sandwich you dumb fuck.
Title: Re: What's the matter with this picture..
Post by: Man of Steel on September 28, 2015, 11:41:50 AM
May God Bless You and Your Family for that, AMEN

Awwwww....so genuine and sweet!
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 28, 2015, 11:44:18 AM
From 2008
http://blogs.wsj.com/health/2008/04/03/in-san-francisco-health-care-shows-up-on-the-restaurant-bill/
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 01:04:31 PM
From 2008
http://blogs.wsj.com/health/2008/04/03/in-san-francisco-health-care-shows-up-on-the-restaurant-bill/

And? She posted it on her FB page and I thought it was hers. I must own your mind to the enth degree for you to actually search. Do you work?
Title: Re: What's the matter with this picture..
Post by: Set It Up on September 28, 2015, 01:06:45 PM
And? She posted it on her FB page and I thought it was hers. I must own your mind to the enth degree for you to actually search. Do you work?

Coach
you realize it takes 11 seconds to find out when/where a pic was posted with reverse image search?
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 01:09:18 PM
Coach
you realize it takes 11 seconds to find out when/where a pic was posted with reverse image search?

The point is why even take the time? It's still true whether she posted it yesterday Thor if was from 7 years ago.
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 28, 2015, 01:09:24 PM
And? She posted it on her FB page and I thought it was hers. I must own your mind to the enth degree for you to actually search. Do you work?
coach, its fucking old news, keep up with the times.
Get someone to hand you a newspaper if you cant reach higher than the comics.
Title: Re: What's the matter with this picture..
Post by: Set It Up on September 28, 2015, 01:10:36 PM
The point is why even take the time? It's still true whether she posted it yesterday Thor if was from 7 years ago.

Title: Re: What's the matter with this picture..
Post by: SF1900 on September 28, 2015, 01:11:43 PM
The entire medical profession is a scam. There is absolutely no consistency in anything. Hospitals and doctors are just making up numbers as they go along. Shouldn't their be some justification/rationale for how much a procedure costs? Granted, I know hospitals have different expenses, but some of these differences are HUGE!!

A hospital in Livingston, N.J., charged $70,712 on average to implant a pacemaker, while a hospital in nearby Rahway, N.J., charged $101,945.

In Saint Augustine, Fla., one hospital typically billed nearly $40,000 to remove a gallbladder using minimally invasive surgery, while one in Orange Park, Fla., charged $91,000.

In one hospital in Dallas, the average bill for treating simple pneumonia was $14,610, while another there charged over $38,000.
Title: Re: What's the matter with this picture..
Post by: dawakaman on September 28, 2015, 01:12:28 PM
Hahahaaha Coach makes himself look like a fool once again!
I KNEW it would backfire when I read the post..Same with the marine/Obama helicopter situation..
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 03:25:52 PM
Hahahaaha Coach makes himself look like a fool once again!
I KNEW it would backfire when I read the post..Same with the marine/Obama helicopter situation..

Mmmm, how did this backfire? It's still a real tax. It's was old, I didn't know as I've never seen this until last night. Dumbass.
Title: Re: What's the matter with this picture..
Post by: Thong Maniac on September 28, 2015, 03:47:18 PM
Omg lol the coach pulled another "coach" moment.

Still waiting for him to answer why he hates our govt so much eventhough they allow his christian brainwashing stations (i.e. business) to operate tax free. You should love the govt mr. Neo-con right winger of peace
Title: Re: What's the matter with this picture..
Post by: Thong Maniac on September 28, 2015, 03:51:43 PM
Hahahaaha Coach makes himself look like a fool once again!
I KNEW it would backfire when I read the post..Same with the marine/Obama helicopter situation..

Another great one was he posted some news article about global warming (yes, coach weighing in on science topics..a big laugh to begin with), yet sf1900 or 240 i think owned him by showing him the very article actually made points in opposite of what coach thought the article was trying to show.
Title: Re: What's the matter with this picture..
Post by: theworm on September 28, 2015, 07:15:55 PM
The entire medical profession is a scam. There is absolutely no consistency in anything. Hospitals and doctors are just making up numbers as they go along. Shouldn't their be some justification/rationale for how much a procedure costs? Granted, I know hospitals have different expenses, but some of these differences are HUGE!!

A hospital in Livingston, N.J., charged $70,712 on average to implant a pacemaker, while a hospital in nearby Rahway, N.J., charged $101,945.

In Saint Augustine, Fla., one hospital typically billed nearly $40,000 to remove a gallbladder using minimally invasive surgery, while one in Orange Park, Fla., charged $91,000.

In one hospital in Dallas, the average bill for treating simple pneumonia was $14,610, while another there charged over $38,000.
No offense, but that is really a nieve view on billing. 

When we bill, it doesn't matter if we charge 100 or 100,000.   It all depends on the allowable.  If an allowable on a biopsy is 50 bucks, yiu get 50 bucks.  Doesn't matter if the charge is a million, see?

Why are the charges so high?  Cause some insurances pay 110% of Medicare, so the biller doesn't leave money on the table. 

Also, if you looked into the charges (which are irrelevant) yiu would see that they charge 90,000 for a gallbladder but they really only get 1500 from the insurance company...
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 09:12:09 PM
Mmmm, how did this backfire? It's still a real tax. It's was old, I didn't know as I've never seen this until last night. Dumbass.

Thong Maniac Smeller..^^^ address it.
Title: Re: What's the matter with this picture..
Post by: SF1900 on September 28, 2015, 09:20:39 PM
No offense, but that is really a nieve view on billing. 

When we bill, it doesn't matter if we charge 100 or 100,000.   It all depends on the allowable.  If an allowable on a biopsy is 50 bucks, yiu get 50 bucks.  Doesn't matter if the charge is a million, see?

Why are the charges so high?  Cause some insurances pay 110% of Medicare, so the biller doesn't leave money on the table. 

Also, if you looked into the charges (which are irrelevant) yiu would see that they charge 90,000 for a gallbladder but they really only get 1500 from the insurance company...

So, then why bill so much, if X is only allowable?  ::) ::) All seems like a scam to me.
Title: Re: What's the matter with this picture..
Post by: 240 is Back on September 28, 2015, 09:38:06 PM
I really like the republican model of cutting taxes, that equals more jobs and more money for the common folk.  More money and they can get their own healthcare.

not ALL republicans support that.

In fact, republican frontrunner TRUMP came out today with tax plan details.  He's not cutting taxes on the wealthy - quite the opposite actually.  He's at odds with Jeb and most of the other repubs.
Title: Re: What's the matter with this picture..
Post by: Coach is Back! on September 28, 2015, 09:59:11 PM
not ALL republicans support that.

In fact, republican frontrunner TRUMP came out today with tax plan details.  He's not cutting taxes on the wealthy - quite the opposite actually.  He's at odds with Jeb and most of the other repubs.

You seem like a confused and very lost fella. Let me ask. Do you handle your own personal finances the same way Obama has with our money?
Title: Re: What's the matter with this picture..
Post by: Simple Simon on September 29, 2015, 12:03:20 AM
You seem like a confused and very lost fella. Let me ask. Do you handle your own personal finances the same way Obama has with our money?

How worse off financially are you due to Obamas policies?
Title: Re: What's the matter with this picture..
Post by: Thin Lizzy on September 29, 2015, 04:41:42 AM
So, then why bill so much, if X is only allowable?  ::) ::) All seems like a scam to me.

When you go to Amazon.com, next to the products are prices.

That no one knows how much anything costs, in a hospital, tells you something is awry.
Title: Re: What's the matter with this picture..
Post by: theworm on September 29, 2015, 08:22:18 AM
So, then why bill so much, if X is only allowable?  ::) ::) All seems like a scam to me.

Because all insurance companies pay differently

Let's say you do a biopsy, Medicare gives you 50 bucks, Medicaid 30, blue cross 60...  Every now and then insurance company will give 150.   So if your charge 50 bucks, you would lose 100 from insurance company x etc
So most charge 250% higher than Medicare just so you don't leave money on the table.

Yiur next EOB, look at it.  They charge 50,000 for procedure X, but the insurance pays 1500.

It gets fuzzy when u get a cash patient, so we lower the charge on them to what we get from the insurance.  So instead of charging 150, we charge 50. 

It's confusing I know , that's why Obama wants a single payer system. But docs hate it cause they will just keep lowering allowables and with no competition, you'd have to take what they pay, which would probably be worse than Medicaid rates
Title: Re: What's the matter with this picture..
Post by: SF1900 on September 29, 2015, 08:40:46 AM
Because all insurance companies pay differently

Let's say you do a biopsy, Medicare gives you 50 bucks, Medicaid 30, blue cross 60...  Every now and then insurance company will give 150.   So if your charge 50 bucks, you would lose 100 from insurance company x etc
So most charge 250% higher than Medicare just so you don't leave money on the table.

Yiur next EOB, look at it.  They charge 50,000 for procedure X, but the insurance pays 1500.

It gets fuzzy when u get a cash patient, so we lower the charge on them to what we get from the insurance.  So instead of charging 150, we charge 50. 

It's confusing I know , that's why Obama wants a single payer system. But docs hate it cause they will just keep lowering allowables and with no competition, you'd have to take what they pay, which would probably be worse than Medicaid rates

I understand that, but when the difference between the same exact procedures is a $60,000 difference, there is an issue with legitimacy and consistency. Sure, some insurance companies may pay more than others, but charging an extra 60K is not going to get you anywhere near that, anyway. So why the HUGE difference? It just doesn't seem "kosher."
Title: Re: What's the matter with this picture..
Post by: NelsonMuntz on September 29, 2015, 08:58:00 AM
Interesting, that, in the most Liberal city in the country, African-Americans are under-represented, both nationally and statewide.

Apparently, those liberal policies ain't too good for the brothas.


Race   Population   % of Total
Total Population   805,235   100
White   390,387   48
Asian   267,915   33
Hispanic or Latino   121,774   15
Some Other Race   53,021   6
Black or African American   48,870   6
Two or More Races   37,659   4
American Indian   4,024   Below 1%
Native Hawaiian Pacific Islander   3,359   Below 1%
Three or more races   3,343   Below 1%
Native Hawaiian   410   Below 1%


Go across the bridge to Oakland and the numbers get reversed
Title: Re: What's the matter with this picture..
Post by: OB1 on September 29, 2015, 07:05:57 PM
Ridiculous to think a gold hamburger wouldn't cost much more than $14

Not literally.
Maybe exaggerating a bit, but i think you get the idea.
Title: Re: What's the matter with this picture..
Post by: SF1900 on September 29, 2015, 07:49:23 PM
When you go to Amazon.com, next to the products are prices.

That no one knows how much anything costs, in a hospital, tells you something is awry.

Exactly. Its like top secret information that no one is privy to, then one day, you get hit with a 100K bill for a few days in the hospital.

The medical industry is a scam. Plain and simple. Heck, I know doctors who tell me that its a scam and all screwed up.
Title: Re: What's the matter with this picture..
Post by: theworm on September 29, 2015, 08:09:31 PM
Exactly. Its like top secret information that no one is privy to, then one day, you get hit with a 100K bill for a few days in the hospital.

The medical industry is a scam. Plain and simple. Heck, I know doctors who tell me that its a scam and all screwed up.

How the hell is it a scam?   When you get hurt, sick or have a heart attack, where you going to go if it's such a scam? 
Title: Re: What's the matter with this picture..
Post by: Straw Man on September 29, 2015, 08:13:39 PM
Agree!

I really like the republican model of cutting taxes, that equals more jobs and more money for the common folk.  More money and they can get their own healthcare.

The dems are very illogical, they want minimal wage to be 15, why stop there?  Why not name it 1000 an hour?   Cause they have no idea how the economy works.

you mean the model that has never actually produced more jobs or more money for "common folk" and only created much less actual tax revenue

the latest example of that fraudulent plan would be Kansas
Title: Re: What's the matter with this picture..
Post by: theworm on September 29, 2015, 08:25:52 PM
you mean the model that has never actually produced more jobs or more money for "common folk" and only created much less actual tax revenue

the latest example of that fraudulent plan would be Kansas
Yeah, cause Obama's "hope and change" has been working wonders!   Lol
Title: Re: What's the matter with this picture..
Post by: TuHolmes on September 29, 2015, 08:41:20 PM
1. Q: What is a health care surcharge?
A: Some San Francisco businesses have elected to impose a surcharge (i.e. an extra fee or cost) on the goods or services they sell to customers to cover, in whole or in part, the expense of complying with the Health Care Security Ordinance.
 
2. Q: Does the City of San Francisco require employers to impose surcharges? Or prohibit employers from doing so?
A: Neither. Employers impose such surcharges at their discretion. The City neither requires nor prohibits them.
 
3. Q. If an employer elects to impose such a surcharge, does the HCSO establish any standards or requirements?
A. Yes. A surcharge provision – along with several other changes – was added to the HCSO by the Board of Supervisors and the Mayor in 2011 and took effect on January 1, 2012.
 
4. Q. To whom does this provision apply?
A. The provision applies to any Covered Employer who “imposes a surcharge on its customers to cover in whole or in part the costs of the Health Care Expenditure requirement” of the HCSO.  The Health Care Expenditure requirement provides that Covered Employers must make Health Care Expenditures to or on behalf of their Covered Employees each quarter.
 
 5. Q. What does the provision do?
A. The provision has two parts.

First, any covered employer who “imposes a surcharge on its customers to cover in whole or in part the costs of the Health Care xpenditure requirement” must report two pieces of information to the OLSE on an annual basis:

• the amount collected from the surcharge for Covered Employee health care, and
• the amount spent on Covered Employee health care.

Employers submit this information to OLSE on the HCSO Annual Reporting Form, which all Covered Employers are required to submit by April 30th of each year.

Second, if the amount collected from the surcharge is greater than the amount spent on Covered Employee’s health care, the employer must irrevocably spend or irrevocably designate the excess surcharges on health care for these Covered Employees.
 
6. Q. How does an employer “irrevocably” spend or irrevocably designate these funds for its covered employees?
A. Please see the description of Irrevocable Expenditures in Section F.
 
7. Q. Is there a deadline by which employers must irrevocably spend these funds for its Covered Employees?
A. Yes. The OLSE is providing employers with a full calendar year to irrevocably spend excess surcharges collected. Be aware that an employer must spend the excess surcharge funds in the following year in addition to spending any health care surcharge funds collected in that year.

For example, if an employer collected $50,000 in health care surcharges in 2012, but spent just $40,000 on Covered Employee health care during the year, the employer is required to spend the $10,000 difference on health care for Covered Employees (in addition to spending any health care surcharges collected in 2013) by December 31, 2013.
 
8. Q. Should my business stop collecting a health care surcharge?
A. It remains at the discretion of any business to decide whether to impose a health care surcharge or not. However, if your business collected excess health care surcharges in a particular year, you may want to consider reducing or eliminating your health care surcharge in the following year to help ensure that you can irrevocably spend the excess surcharges collected in the prior year.
 
9. Q. How will the OLSE determine whether my business satisfied the obligation to irrevocably spend excess surcharges for my Covered Employees in the following year?
A. The OLSE will make this determination based on the information your business provides on the Annual Reporting Form you submit to our office by April 30th of each year plus any supplemental information we may request.
 
10. Q. Are businesses supposed to charge sales tax on any such health surcharge? 
A: The OLSE does not enforce tax laws nor provide tax advice. However, on May 1, 2009, the State Board of Equalization issued a Special Notice (PDF) entitled “Sales Tax Applies to the San Francisco Health Care Security Ordinance (SFHCSO) Surcharge.”

If you have further questions about the taxability of surcharges, please call the State Board of Equalization’s Taxpayer Information Section at (800) 400-7115.
 
Title: Re: What's the matter with this picture..
Post by: Primemuscle on September 29, 2015, 09:10:17 PM
No offense, but that is really a nieve view on billing. 

When we bill, it doesn't matter if we charge 100 or 100,000.   It all depends on the allowable.  If an allowable on a biopsy is 50 bucks, yiu get 50 bucks.  Doesn't matter if the charge is a million, see?

Why are the charges so high?  Cause some insurances pay 110% of Medicare, so the biller doesn't leave money on the table. 

Also, if you looked into the charges (which are irrelevant) yiu would see that they charge 90,000 for a gallbladder but they really only get 1500 from the insurance company...

Just curious, what is your capacity the medical system. You've implied you are an insider with the pronoun "we".

naïve
 
Title: Re: What's the matter with this picture..
Post by: Primemuscle on September 29, 2015, 09:40:05 PM
So, then why bill so much, if X is only allowable?  ::) ::) All seems like a scam to me.

I've been through this medical billing nonsense for the last several years. From January to June, my wife's medical bills totaled $313,890.65 (assuming all the charges have been submitted by now). Regence Blue Cross Medicare Advantage insurance paid $44,041.31 Her copay/coinsurance was $4,000.63. The substantial difference was written off by the providers. By the way, these figures do not include the charges or copays for prescriptions which is another ball of wax.

Technically, folks with no medical insurance are billed for the (inflated) full amount of both medical services and prescription drugs. Of course, many of these folks can't afford to pay much, if anything at all. This loss is absorbed by the providers and written off. It affects future costs of medical services. Essentially, it is a vicious and ridiculous cycle.

You may not agree with Obamacare, but it does help level things off by requiring everyone to have medical insurance. Keep in mind the word "help" because Obamacare certainly does not fix our flawed medical system, which is among the worst of all first world or developed countries.

If you are without medical insurance and you have a mishap or illness that results in huge medical expenses, you have a few options. You can pay the bills. Regardless of how wealthy you are, you can negotiate a lower cost and payment options with providers. Many people when faced with unaffordable medical expenses, file bankruptcy. If you choose not to pay at all and you have assets, expect that they will be attached. People lose their homes because of medical bills they cannot pay. If you are in the top 1%, you may want to pay the full bill because the other options are just a nuisance. What is a few hundred thousand or a couple of million dollars to folks who are billionaires?

By the way, my wife's previous years' medical expenses were about the same amounts. The good news is that when you pay out between $8,000 and $13,000 in medical expenses, you get to claim it as a deduction, assuming you have enough other deductions to warrant filing Schedule A and your income doesn't disqualify you. Some deductions, like this one, are based on a percentage of your gross income.

Title: Re: What's the matter with this picture..
Post by: mr.turbo on September 29, 2015, 11:32:36 PM
Title: Re: What's the matter with this picture..
Post by: Rudee on September 30, 2015, 11:57:16 AM
Who pays $14 for a burger anyways?

I was in Iqaluit, Nunavut on a business trip years back where the hotel in town charged $20 for a cheeseburger.   Everything there was bloody expensive because it was in the middle of nowhere in the Arctic.
Title: Re: What's the matter with this picture..
Post by: TheShape. on September 30, 2015, 07:38:03 PM
I was in Iqaluit, Nunavut on a business trip years back where the hotel in town charged $20 for a cheeseburger.   Everything there was bloody expensive because it was in the middle of nowhere in the Arctic.
That's totally different compared to San Fran though.