What to Expect From Obamacare

What to Expect From Obamacare:
Woman, 25, died from meningitis, doctors ignored and left her to die

Daily Mail
July 31, 2010

A desperate patient texted photos of a deadly rash spreading across her body to her mother as she lay dying on a hospital bed while being ignored by NHS doctors.

Critically ill Jo Dowling, 25, sent more than 40 pictures and messages to her mother and best friend as her life ebbed away.

Doctors ignored the rash and refused to believe she had blood poisoning caused by the meningitis bug, taking her off antibiotics and giving her painkillers instead.

Hours earlier, the young woman had been diagnosed by her family GP with suspected meningococcal septicaemia after developing a purple skin rash and low blood pressure.

She was rushed to Milton Keynes Hospital where A&E doctors rejected the diagnosis believing instead her illness was a mild infection caused by her cystic fibrosis.

But doctors abandoned Miss Dowling on an observation ward and gave her headache tablets and fluids as they failed to spot the purple rash spread over her arms, hands and legs.

As the hours passed, terrified Miss Dowling took photos of her rash on her mobile phone and sent them to her mum and best friend describing her condition as ‘getting worse’.

The meningitis bug left her in septic shock choking and coughing as fluid filled her lungs and she died four hours after her last text message – just 14 hours after arriving at hospital.

Her family yesterday accused the hospital of ‘neglect’ after an inquest at Milton Keynes Coroners’ Court heard doctors failed to spot she was suffering ‘blood poisoning shock’.

Coroner Tom Osborne criticised the hospital for a ‘communication breakdown’ that led to her death as tragically a simple dose of penicillin and antibiotics would have saved Miss Dowling’s life.

The inquest heard there were only two doctors on duty to cover the entire hospital the night she died last November.

Her devastated mother Sue Christie, 48, of Milton Keynes, a distribution worker, said: ‘Our doctor knew it was meningitis but when we got to hospital all the care seemed to stop.

‘They didn’t seem to know what they were meant to do or what meningococcal septicaemia was.

‘The hospital was saying it was just an infection. She had a lot of infections with cystic fibrosis but never a rash like this.

‘I saw her picture messages and the rash was really bad. You couldn’t miss them but the nurses did. I thought she was in hospital and with the best people.

‘She wasn’t given a chance and was left to die without being given any treatment.

‘It is so sad as Jo had got through everything with her cystic fibrosis and was such a strong girl.’

Jo was given penicillin and admitted to hospital at 3.25pm on November 23 last year with a letter from her GP Dr Nessan Carson diagnosing meningococcal septicaemia.

Dr Carson listed symptoms as low blood pressure, a raised pulse and a purple rash that would not disappear when pressed with a glass.

The inquest heard locum consultant Dr Bakhtawar Shah Khattak sent Jo for a CT Scan and lumber puncture and results were sent to micro-biology to determine which type of antibiotics to use.

When the scans showed no traces of meningitis Dr Chris Akubuine, physician in general medicine, refused to continue treating Jo’s symptoms with antibiotics.

Instead Dr Akubuine administered headache pills and fluids and left her in the Clinical Decision Unit (CDU) for overnight observations, the inquest heard.

Trainee GP Vivake Roddah failed to keep a written observation record but told the inquest he did not see the purple rash on Miss Dowling’s hands, arms and legs.

Five nurses also told the two day hearing they did not spot any rash on Jo’s body.

As her condition worsened Miss Dowling swapped 42 text messages with friends and her mother describing her illness and symptoms.

Just two hours after doctors ruled out meningitis she texted a friend to say ‘rash is getting worse’.

She took around ten photos of the purple rash on her legs, hands and arms and sent one to her mum complaining her condition was not improving.

Her death was pronounced at 5.20am on November 24 three hours after hospital logs show she was last checked on.

Her father Ivor Dowling, 52, a mechanic, said: ‘If she had been given antibiotics she would have survived. The hospital failed her.

‘The first doctor who saw my daughter did everything he was supposed to do. But after that these doctors and nurses failed to spot her failing vital signs.

‘They were obnoxious and arrogant. She was neglected.’

Delivering a narrative verdict on Wednesday Deputy Coroner Tom Osborne ruled Miss Dowling died from a combination of Meningococcal Septicaemia and Cystic Fibrosis.

He criticised hospital doctors for failing to realise she was in ‘blood poisoning shock’.

Mr Osborne said: ‘As a result of a breakdown in communication the antibiotics was not continued and resulted in lost opportunities to render further medical treatment.’

Miss Dowling, who was on a waiting list for a lung transplant, occasionally needed a wheelchair to get around after she was diagnosed with cystic fibrosis as a baby.

She worked as a cashier at Great Mills and The Bag Shop, in Milton Keynes, and competed in junior cross country championships as a child.

Her best friend Jess Wales, 20, from Kent, who received the other messages, also suffered from cystic fibrosis and died in January shortly after a lung transplant.

A spokesman for Milton Keynes Hospital said: ‘Following Joanne’s unexpected death, the Trust conducted a comprehensive internal investigation to review her care and treatment.

‘The findings of the investigation were presented in detail at the inquest today and the recommendations are already being implemented.

‘The Trust fully accepts the verdict of the inquest.’

Former director Maggie Southcote-Want, 48, alleged a series of shocking incidents at the hospital at an employment tribunal claiming unfair dismissal in May.

Ms Southcote-Want claimed bodies were routinely dumped on the floor of the mortuary fridge and photographs of a car crash victim uploaded to websites, prompting a police inquiry.

She also claimed a locum doctor wrongly analysed dozens of breast cancer biopsies, a leading consultant was suspended for surgical blunders and two employees were caught having sex in the pharmacy during working hours.

The hospital denied the claims.

Doctors refuse to save baby because it was born too early


6 Months Until The Biggest Tax Hikes in History

6 Months Until The Biggest Tax Hikes in History

July 7, 2010

“I can make a firm pledge. Under my plan, no family making less than $250,000 a year will see any form of tax increase. Not your income tax, not your payroll tax, not your capital gains taxes, not any of your taxes.” Obama

In just six months, the largest tax hikes in the history of America will take effect. They will hit families and small businesses in three great waves on January 1, 2011:

(N.B. This version of the document contains even more tax hikes than the original version did)

First Wave: Expiration of 2001 and 2003 Tax Relief

In 2001 and 2003, the GOP Congress enacted several tax cuts for investors, small business owners, and families. These will all expire on January 1, 2011:

Personal income tax rates will rise. The top income tax rate will rise from 35 to 39.6 percent (this is also the rate at which two-thirds of small business profits are taxed). The lowest rate will rise from 10 to 15 percent. All the rates in between will also rise. Itemized deductions and personal exemptions will again phase out, which has the same mathematical effect as higher marginal tax rates. The full list of marginal rate hikes is below:

– The 10% bracket rises to an expanded 15%
– The 25% bracket rises to 28%
– The 28% bracket rises to 31%
– The 33% bracket rises to 36%
– The 35% bracket rises to 39.6%

Higher taxes on marriage and family. The “marriage penalty” (narrower tax brackets for married couples) will return from the first dollar of income. The child tax credit will be cut in half from $1000 to $500 per child. The standard deduction will no longer be doubled for married couples relative to the single level. The dependent care and adoption tax credits will be cut.

The return of the Death Tax. This year, there is no death tax. For those dying on or after January 1 2011, there is a 55 percent top death tax rate on estates over $1 million. A person leaving behind two homes and a retirement account could easily pass along a death tax bill to their loved ones.

Higher tax rates on savers and investors. The capital gains tax will rise from 15 percent this year to 20 percent in 2011. The dividends tax will rise from 15 percent this year to 39.6 percent in 2011. These rates will rise another 3.8 percent in 2013.

Second Wave: Obamacare

There are over twenty new or higher taxes in Obamacare. Several will first go into effect on January 1, 2011. They include:

The Tanning Tax. This went into effect on July 1st of this year. It imposes a new, 10% excise tax on getting a tan at a tanning salon. There is no exemption for tanners making less than $250,000 per year.

The “Medicine Cabinet Tax” Thanks to Obamacare, Americans will no longer be able to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin).

The HSA Withdrawal Tax Hike. This provision of Obamacare increases the additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent.

Brand Name Drug Tax. Starting next year, there will be a multi-billion dollar tax assessment imposed on name-brand drug manufacturers. This tax, like all excise taxes, will raise the price of medicine, hurting everyone.

Economic Substance Doctrine. The IRS is now empowered to disallow perfectly-legal tax deductions and maneuvers merely because it judges that the deduction or action lacks “economic substance.” This is obviously an arbitrary empowerment of IRS agents.

Employer Reporting of Health Insurance Costs on a W-2. This will start for W-2s in the 2011 tax year. While not a tax increase in itself, it makes it very easy for Congress to tax employer-provided healthcare benefits later.

Third Wave: The Alternative Minimum Tax and Employer Tax Hikes

When Americans prepare to file their tax returns in January of 2011, they’ll be in for a nasty surprise—the AMT won’t be held harmless, and many tax relief provisions will have expired. These major items include:

The AMT will ensnare over 28 million families, up from 4 million last year. According to the left-leaning Tax Policy Center, Congress’ failure to index the AMT will lead to an explosion of AMT taxpaying families—rising from 4 million last year to 28.5 million. These families will have to calculate their tax burdens twice, and pay taxes at the higher level. The AMT was created in 1969 to ensnare a handful of taxpayers.

Small business expensing will be slashed and 50% expensing will disappear. Small businesses can normally expense (rather than slowly-deduct, or “depreciate”) equipment purchases up to $250,000. This will be cut all the way down to $25,000. Larger businesses can expense half of their purchases of equipment. In January of 2011, all of it will have to be “depreciated.”

Taxes will be raised on all types of businesses. There are literally scores of tax hikes on business that will take place. The biggest is the loss of the “research and experimentation tax credit,” but there are many, many others. Combining high marginal tax rates with the loss of this tax relief will cost jobs.

Tax Benefits for Education and Teaching Reduced. The deduction for tuition and fees will not be available. Tax credits for education will be limited. Teachers will no longer be able to deduct classroom expenses. Coverdell Education Savings Accounts will be cut. Employer-provided educational assistance is curtailed. The student loan interest deduction will be disallowed for hundreds of thousands of families.

Charitable Contributions from IRAs no longer allowed. Under current law, a retired person with an IRA can contribute up to $100,000 per year directly to a charity from their IRA. This contribution also counts toward an annual “required minimum distribution.” This ability will no longer be there.


One percent transaction tax is proposed

Standard Examiner
July 9, 2010

President Obama’s finance team is recommending a transaction tax. His plan is to sneak it in after the November election to keep it under the radar. This is a 1% tax on all transaction at any financial institution i. e. Banks, Credit Unions, extra. Any deposit you make, or move around within your account, i. e. transfer to, will have a 1% tax charged. If your pay check or your social Security or whatever is direct deposit, 1% tax charged. If you hand carry a check in to deposit, 1% tax charged, If you take cash in to deposit, 1% tax charged.This is from the man who promised that if you make under $250,000 per year, you will not see one penny of new tax.

Keep your eyes and ears open, you will be amazed at what you learn.

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