Obama Care Stories |
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Tim D
Grand Poobah Joined: August-23-2004 Location: United States Status: Offline Points: 2641 |
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Posted: January-08-2015 at 12:01am |
Joe, you seem pleased with obamacare, did you vote for him?
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Tim D
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john b
Grand Poobah Joined: July-06-2011 Location: lake Sweeny Status: Offline Points: 3241 |
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If a fraction of the effort that was expended in the law suits, shut downs, and opposition to Obamacare was directed toward coming up to a better solution we would all benefit. Certainly there could be better plans, but it is better than what we had before. If everyone could work together toward a solution we would all benefit, but not the insurers and drug companies so that's not really going to happen here.
After seeing the benefits of the single payer system in Canada it is hard to accept our dismal system. I owe a great debt of gratitude to Canada for making it possible to have a grandson. Due to costs and the lack of coverage for fertility treatments here in the states it would not have been possible. Felix was born on July 6, 2013 at Victoria General, in Victoria Canada, the hospital my daughter worked at as a nurse (in the same unit where he was delivered). He was the product of In-vitro fertilisation. He was born premature and spent about 10 days in the NNICU and additional time in the hospital until his lungs fully developed. He went home a healthy baby. There was no bill to follow. All of his follow ups and continuing health care, like my daughter's and her husband's, were provided free of cost courtesy of the Canadian Government. Only Felix is a Canadian citizen (their anchor baby as everyone likes to call them here). I just can't get enough of Felix. I will be visiting him in February again. Seems I can't go more than 8 weeks without a Seattle Felix trip. I'm afraid he is the only grandson I will ever have due to the costs here in the USofA.. |
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1970 Mustang "Theseus' paradox"
If everyone else is doing it, you're too late! |
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baitkiller
Platinum Member Joined: October-11-2011 Location: SW Florida Status: Offline Points: 1693 |
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Joe please elaborate.
If anybody goes down hard I'm out $750 and my ins. picks up the balance. Maybe I should re-read something? |
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Jesus was a bare-footer.............
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Orlando76
Grand Poobah Joined: May-21-2013 Location: Mount Dora, FL Status: Offline Points: 3108 |
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I'm more or less self employed. In 2008 while America was in a depression, errr, "Recession" i was in a depression bc I was without work for 9 months. Somewhere in that 9 months I was 2 weeks late 2 months in a row on my $550 payment to Blue X. On the second month they returned my check and said I was no longer covered due to non payment. What a kick in the balls bc that was always my first check written even before groceries. For two years I could not get another private policy bc I was "high risk" due to nonpayment and "high" blood pressure. When I say I couldn't get coverage, I mean I couldn't even offer 5k a month to the shady-est carrier. It wasn't until I got married to my wonderful boat driver could I get coverage which was through her employers group policy. So now we pay $900 a month for just her and I. And boy it's mediocre coverage at best. I have not checked into Obamacare yet. I will say I am glad that supposedly now a person is always eligible for coverage because that 2 years I was worried.
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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Donald they lied - the aca requires them to cover the annual physical and preventive tests 100%, it didn't require them to stop covering the extra test - they did it cause they could and the aca gave them an excuse
baitkiller you will likely be better off as long as no one gets seriously sick with your non approved plan - but to me that defeats the purpose of insurance. |
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john b
Grand Poobah Joined: July-06-2011 Location: lake Sweeny Status: Offline Points: 3241 |
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You guys should thank your lucky stars.
As retired police we receive no health care benefits. I just received the medical renewal package from the village I worked for. The premium per month for family coverage is $2,428.66 / month. I get away a bit cheaper for $1,659.30 / month because I only have one dependant (my wife). $1,000 deductible, covered 80% in network, 70% out of network until a maximum of $4,500 out of pocket. Can't wait for that other good old government insurance program to kick in, Medicare. My daughter and her husband and child had it sooooo good for three years.....In Canada! |
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1970 Mustang "Theseus' paradox"
If everyone else is doing it, you're too late! |
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Donald80SN
Grand Poobah Joined: January-12-2009 Location: Denver, NC Status: Offline Points: 3896 |
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I had my annual physical on October 31st and like each year, my doctor (Dr. Jelly Finger) drew blood and ordered the normal battery of test. I do not remember the number of test but for the sake of conversation lets say it was 10 things that they tested for. It was no more than they had done in years past. In years past, my insurance covered 100% of my annual physical, but in November I get a bill for $105.00 that was for some of these individual blood test that they had run. I called the insurance company to see if their was a mistake and they stated that due to changes in the Health Care Reform Laws, only two blood test are now considered preventive care. One was Cholesterol, and I can not remember the other one (Maybe LDL Cholesterol). The others were considered General Health and are not covered.
I have a Premium PPO with one of the big providers. Granted it is only $105.00, but you just keep getting nickeled and dimed to death. In April we will get hit with another large increase. That is my Obamacare story for today. Donald |
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Gary S
Grand Poobah Joined: November-30-2006 Location: Illinois Status: Offline Points: 14096 |
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I guess I should not complain then,when I retired our coverage was 9.00 a month 30.00 copay. 3 years later I'm still 30 copay but now 400.00 a month
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baitkiller
Platinum Member Joined: October-11-2011 Location: SW Florida Status: Offline Points: 1693 |
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Cant afford the coverage on the exchanges. Buying good non compliant full coverage and paying the penalty is waaayyyyy cheaper for me with better coverage. Being self employed with a large family I get slaughtered on the exchanges.
I was quoted $897 a month with $5000 initial deductible. That equates to $15,764 a year before any benefit. I now pay $560 a month with no deductible and max OOP of $750. No dental or optical but everything else is 100% covered, $20 scrips. Yeah, Ill pay the penalty instead. |
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Jesus was a bare-footer.............
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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We all fall under Obamacare as a system in some way. To talk about a specific copay you would need to talk about a program or a policy bought under a program -
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Tim D
Grand Poobah Joined: August-23-2004 Location: United States Status: Offline Points: 2641 |
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I used the term obamacare for the complete system, which they fall under. It's the term used to talk about "it" isn't it?
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Tim D
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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There is no such policy as Obamacare, there are many different policies that are available and they vary greatly by market. Some of them undoubtably have 10 dollar copays for a specialist but the average out of pocket cost for a bronze level plan to visit a specialist was 34% of the cost of the visit. |
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Tim D
Grand Poobah Joined: August-23-2004 Location: United States Status: Offline Points: 2641 |
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I heard last week someone on Obamacare can see a specialist and their copay is $10. When I go it's $81.
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Tim D
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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Nothing you have mentioned has anything to do with obamacare which is all of 6 months old ,Certificates of need go back to the 50's... blaming obamacare for everything wrong with the medical industry, and in fact the country is the current strategy being employed by those who would control you to distract you from demanding any real changes. One side is negotiating with big business to allow some minor reforms in place, the other doesn't even bother to negotiate anything for the people in exchange for leaving the establishment unchecked they just collect their campaign contributions and turn over the keys. Neither is willing to implement the only solution that has ever been shown to work.
if you don't think more government can solve the problem what do you think will? If the big guys cant crush competition through regulation they will do it though acquisition or intimidation. Its your country, go out there an run it |
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emccallum
Platinum Member Joined: August-08-2006 Location: Clarks Hill SC Status: Offline Points: 1084 |
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Joe,
I left one point out: "You are wrong… I work in planning for a multinational manufacturer, I know exactly what healthcare costs have done in the US and I know exactly how it effects employers and where they choose to add employees. My previous three employers all now have their manufacturing done in mexico, I have seen the books and it wasn’t labor cost that moved them there" So, you know how the cost of healthcare has affected the businesses you are and have worked for, to the point they have left the country and we/you have lost jobs. Still, you defend or want a system that is putting more burdens on manufacturing? So much so, Obama has postponed/given special favors to the employer mandate part of ACA until after the midterm elections. If it is so good, lets put it all in now. You understand that healthcare costs have gone up. Please, I urge you to dig a little deeper and try to understand the real causes of the increased costs, not just the BS you see on TV. No reason an MRI should cost 2K. I went from film based xrays to all digital about ten years ago. The cost of the machine and the yearly license ($150) are about the only cost I have. Basically costs me nothing to expose a radiograph. No film, no chemicals to process. Takes 30 seconds. Why have the costs gone up? IMO, it is because the insurance companies and the hospitals benefit from raising the fees. Zero incentive to control cost. If the UCR (usual and customary fee) is $500 and your insurance companies negotiates $350 you think your insurance company is saving you money. Nope, they like the big UCR so they can claim to be helping you, and then can justify raising premiums. The hospital likes it because they can charge more to everyone else. Self pay and indigent patients. Remember, they get reimbursed for indigent care thru programs like DSH, Disproportionate Share Hospital, so if they really pad the bill they can even make money on the patients that didn't even pay! Charge $500, collect $350 or even $150 and still make money because actual costs have gone down through not paying the docs, technology, hiring foreign doctors, etc. Hospitals are big money makers. The Non profit hospital wins no matter who gets treatment, all thanks to the voter and taxpayer. If that isn't corruption, I don't know what is. I don't think more gvt will solve this problem. Sorry for the rant. I am done. Caught me on a bad day. |
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emccallum
Platinum Member Joined: August-08-2006 Location: Clarks Hill SC Status: Offline Points: 1084 |
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[QUOTE=JoeinNY] "Putting one’s head in the sand and saying man I wish Obama didn’t break our perfect health care system is the silliness I am arguing against."
We agree that the system has been broken a long time. Ever since the gvt and insurance companies got involved. ACA isn't going to help. " You are stuck on certificates of need… but that is just one tool used by a huge corporation to crush competition… that is your free market at work." CONs are the farthest thing from a free market. I think you need to look up "free market". I don't need a CON to open a deli, and I certainly don't need to ask the other Deli if they think there is a need for more Delis in the area. CONs are a large part of the healthcare problem....they are stifling competition. It would be great if I had influence on whether or not my competition could get a license to operate. I think the term for that is organized crime. "What you need is a fair market for actual competition to improve services and pricing, but you can’t get a fair market with less regulation and with less government to enforce it." You cant get a fair market with less regulation and less gvt? So, the gvt has to create a fair market? How does it do that? Central planning has never worked for any country at any time in history. Markets are far too complex and gvt are far too corrupt for any sort of central planning to work. Just look at any place (wage control, rent control, education, poverty, welfare,etc) gvt has intruded into the market place. They create more problems and typically cause more of what they are trying to fix. The gvt needs to ensure there aren't monopolies in the market place. It doesn't need to pick winners and losers or attempt to level the playing field. "To get a chance at a fair healthcare market you would need to get the money out of politics so that people got elected for serving their constituents needs instead of corporate need." No, you need to get the gvt out of the marketplace. In one sentence you state that you cant have a fair market without the gvt, now you say the gvt is is too corrupt to fix healthcare, then later you want a singlepayer??? You really want a single payer system? Much like the VA, the USPS, AMTRAK. Those are doing great,right? I think you are trying to have it both ways. You want to sound conservative, but your big gvt/liberal bias is screaming out between the lines. "Since that is all but impossible we could do the only thing that has worked for other countries and go to a single payer system. Since that is all but impossible…. you get the ACA and less people die and insurance rates don’t go up quite as fast as they used to but that is about it." Just hand over your freedom to gvt and let them fix it! How about voting some of the thugs out and put gvt back into the constraints the constitution set up for them. Enumerated powers. |
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davidg
Grand Poobah Joined: January-07-2008 Location: NW Chicagoland Status: Offline Points: 2239 |
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Good post Ernest! I think you are spot on in every aspect. Let the free market/competition/entrepreneurs come in and straighten the mess out in healthcare. Lasik eye surgery is a great expample. It is an elective procedure, and when people have to pay for it on their own, they shop around for the best value. That has brought the prices down for Lasik over the years. Now, apply that to other procedures. It may not work for everything, but, start applying these principles slowly but surely, and watch it snowball from there. Ever notice that auto insurance, property insurance, and life insurance tend not to be the big, hot topic issues that healthcare insurance is?? Why is that? I think the American public has become too far removed from the actual decision making on their own healthcare needs, and how we pay for it. We have become too used to letting our company sponsored insurance plans cover everything. They just take money from our paychecks which we don't miss, and we assume everything just goes to plan. Check into the hospital and an aspirin will cost you $25. No big deal...insurance will pay for it. I say give us back more control over how we pay for our healthcare, get government the HE%% out of it (VA??), give us more choices and competiton, and prices will come down. Start allowing insurance plans to be sold across state lines! Too much regulation and limited competition now!! |
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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You are wrong… I work in planning for a multinational manufacturer, I know exactly what healthcare costs have done in the US and I know exactly how it effects employers and where they choose to add employees. My previous three employers all now have their manufacturing done in mexico, I have seen the books and it wasn’t labor cost that moved them there. I also know plenty of doctors (including a couple ski buddies) and have worked for a major medical device manufacturer. Everything you are describing is part of the Pre ACA system, the one that I have clearly stated was broken, is broken, and does need to be fixed. Putting one’s head in the sand and saying man I wish Obama didn’t break our perfect health care system is the silliness I am arguing against. You are stuck on certificates of need… but that is just one tool used by a huge corporation to crush competition… that is your free market at work. What you need is a fair market for actual competition to improve services and pricing, but you can’t get a fair market with less regulation and with less government to enforce it. To get a chance at a fair healthcare market you would need to get the money out of politics so that people got elected for serving their constituents needs instead of corporate need. Since that is all but impossible we could do the only thing that has worked for other countries and go to a single payer system. Since that is all but impossible…. you get the ACA and less people die and insurance rates don’t go up quite as fast as they used to but that is about it.
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emccallum
Platinum Member Joined: August-08-2006 Location: Clarks Hill SC Status: Offline Points: 1084 |
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JoeinNY,
Really? Do you really believe what you just typed or are you just pretending? We do not have anything close to a free market in health care. It is a true monopoly. Why are over a million people a year from the US going abroad to get healthcare (medical Tourism)? Why cant I open an Imaging center in my town and compete with the ONLY game in town? Because they will not allow it. THEY don't think there is a "need". Our local monopoly hospital has bought up just about every private medical practice in town. Told the docs, work for us or you don't get privileges in the hospital. They are a nonprofit, but according to research are clearing over 1 million a week. Yes, I wrote 1 million/week. That is after they pay the CEO, that does not see any patients close to $800,000/year. They have tens of millions of dollars in cash investment accounts. They make more money (% wise)from indigent care than insurance. The state and Fed reimburse them for indigent care, so don't let them tell you that they give away millions in uncompensated care. The hospital would not even pay the docs for delivering the care. Finally, the docs caught on, and they are now throwing them a few bones. Oh, and because they are non profits, they pay almost no taxes, but own tons of property. Guess what that does for all the other people that pay property taxes in the town? Why can the Surgical Center of OK (a privately owned for profit hospital) take out a Gall bladder for $5800 and I had to pay over $13,000 in my non profit hospital? Because it is run and owned by the docs. No $800,000 CEO's sucking profits. Low overhead. The ACA does not attempt to fix anything, it attempts to make sure those making fortunes in Healthcare continue to make fortunes. Believe what you want, but when your doctor closes up shop and the only doctor you can find doesn't speak English, wasn't trained in the US, works for the hospital or state, and you have to wait 6 months for an appointment, you will begin to understand. I could be wrong,but, my guess is you have really good insurance (state/fed worker?) and haven't had to deal with the rising costs of insurance directly like others do. My healthcare went up 20% this year, $1300/month for a 6K deductible. Thanks ACA for lowering my premium the promised $2500! If you think healthcare is expensive now....wait until it is free. |
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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Large corporations have an outsized control over everything in this country, and yes the certificate of need process helps large health care providers, tying healthcare to employment helps only large corporations as well… the solution isn’t to elect guys that say they are all in favor of less government and more free markets, but really are in favor of government that only works in favor of those that already have enough to pay for campaign contributions and the finest lobbyists that K street can provide.
The main problem with free market solutions in healthcare is that for a market to work the laws of supply and demand have to apply. When your child is really sick demand for health care is infinite, you will not use less health care when the cost goes up, having an insurer between the consumer and the provider also makes an effective functioning market extremely difficult. There is no evidence that in health care free markets will bring down costs over time. In fact all evidence shows that in industrialized societies those with the best outcomes and lowest costs have national health insurance. We are the biggest free market health care experiment and over time the costs have sky rocketed and the outcomes not kept pace. It is just reality, we can argue ideology against reality but that doesn't change reality... The ACA attempts to fix some things that keep the health care market in the US from working correctly and provides some level of healthcare for those who cant afford it, so that the cost of their emergency room visits isn't added to the health insurance cost of only the middle class workers. It is not a great law.. but it isn't the boogyman |
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emccallum
Platinum Member Joined: August-08-2006 Location: Clarks Hill SC Status: Offline Points: 1084 |
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The problem with healthcare in this country is not insurance or the lack of it. The problem IS the monopoly that healthcare has in our country. Why is the cost of delivering healthcare so expensive? it is b/c too many people are making too much money off of the same procedure. Think about it....the same technology that has brought the cost of a DVD player from $800 to $50 cant bring the cost of a digital Xray or MRI down? Why have xrays tripled in price and not dropped like everything else that uses similar technology? That is just one example. There are tons. Free markets bring costs down over time.
I am in healthcare and I know you cant fix it work from the 'how to pay for it side". Taking money from some people to buy an overpriced product is not sustainable. You have to bring the costs down and the only way to do that is to allow competition. Get rid of "certificates of Need" so people can buy an MRI or open a surgical center without having to get an ok from the state or the other MRI center in town. Create competition. Look at the Surgical Center of Oklahoma. It is a privately physician owned hospital. Fee for service. They post their procedure costs online, just like a retailer. Costs are way cheaper because no insurance or executives drawing outlandish salaries. Obama care is just another way to gain more control and protect the monopoly. Wake up folks. http://www.surgerycenterok.com/ |
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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I don’t subscribe to Canadian health care horror stories… I understand it still gets paid for but the facts remain they live longer and healthier than we do and it costs them less per person to do it. Most companies don’t want to provide health care they want to do business, if you go back to 7 years ago many many companies were moving or planning to move plants not because of the labor costs, taxes, or energy costs but because of the out of control rise of health care costs in the US…
Actual Obamacare in 4 sentences If you sell insurance you have to actually cover stuff… If you sell insurance you have to spend 80 percent of what you bring in on medical stuff or you have to refund money back to the people who bought your insurance. If you can afford it you have to buy insurance, if you can’t afford it the government will subsidize your coverage. The insurance companies have to sell it to you, even if they don’t like you because you have in the past or might in the future get sick, or because you don’t want to work for somebody else. Just another old thread full of old threats that didn’t happen, but don’t look at those we have a whole new set of dire predictions that will never happen for you to look at… |
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davidg
Grand Poobah Joined: January-07-2008 Location: NW Chicagoland Status: Offline Points: 2239 |
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The healthcare system in the US could always be better. Let the private market figure out a way to lower costs. To have the government take it over is bad news. The whole VA scandal is a little glimpse into the wonderful world of government run healthcare that awaits us if Obama gets his wish for a single payer, government-run healthcare system.
No thanks! I will take the healthcare system we have now, warts and all, at least the one before Obama got a hold of it. Wouldn't it have been better and cheaper if the government basically just paid for a policy for all the uninsured rather than to blow up the current insurance/healthcare system we have now? Below is what I think is a pretty accurate summary of Obamacare: Obamacare in four sentences. 1. In order to insure the uninsured, we first have to un-insure the insured. 2. Next, we require the newly un-insured to be re-insured. 3. To re-insure the newly un-insured, they are required to pay extra charges to be re-insured. 4. The extra charges are required so that the original insured, who became un-insured, and then became re-insured, can pay enough extra so that the original un-insured can be insured, free of charge to them. |
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Toertel
Gold Member Joined: August-26-2013 Location: Atlanta Status: Offline Points: 775 |
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Joe, I had the pleasure of receiving a paycheck for some time from a company in Ontario. The system there is not free (higher taxes just pay for it) and you do get what you pay for...
My wife was pregnant at the time and was not able to see a doctor or get a preventive screening, since she was deemed low risk (we went to the US and paid for the check) and there was no way to pay extra for the service if wanted. Another friend had a lump in her breast and was then scheduled to get a MRI. the next available appointment was in 6 month...She also went to the US, paid the fee and got a result right away. Thank God, no cancer, but waiting 6 month would have killed her if it would have been... So hands down, I prefer the US system as it was. It promotes people to work hard and seek jobs that have benefits and not to rely on the social safety net to catch all. Having said that, should there be a better safety net for people really in need for things outside of their control. YES I also agree with non preexisting conditions and non lifetime maximum. But that is about it. |
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1994 Sport Nautique
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OverMyHead
Grand Poobah Joined: March-14-2008 Location: MN Status: Offline Points: 4861 |
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And what is your definition of making it worse instead of better?
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For thousands of years men have felt the irresistible urge to go to sea, and many of them died. Things got better after they invented boats.
1987 Ski Nautique |
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JoeinNY
Grand Poobah Joined: October-19-2005 Location: United States Status: Offline Points: 5698 |
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Our healthcare system wasn't broken? Double digit premium increases every year on those that were insured and 20 percent of the country being uninsured is the best system we can hope for in the USA?
Companies were moving manufacturing to canada to avoid paying us health insurance costs ...thats my definition of broken eh |
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OverMyHead
Grand Poobah Joined: March-14-2008 Location: MN Status: Offline Points: 4861 |
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Everybody remember when we had to have Obama care because it was to expensive to be seeing the poor in the ER's.
More patients flocking to ERs under Obamacare Never underestimate Obama's willingness to take what is not broken and keep fixing it till it is . |
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For thousands of years men have felt the irresistible urge to go to sea, and many of them died. Things got better after they invented boats.
1987 Ski Nautique |
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74Wind
Grand Poobah Joined: August-02-2011 Location: Georgia Status: Offline Points: 2101 |
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Donald: That is without a doubt the best thing I have ever read in all my years on CCFan. Hysterical. Outstanding....
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1974 Southwind 18
1975 Century Mark II |
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davidg
Grand Poobah Joined: January-07-2008 Location: NW Chicagoland Status: Offline Points: 2239 |
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This year is the individual mandate. Remember, the employer mandate was delayed (by Obama going around Congress) by one year. So, if people are shocked by having their policies cancelled this year, just wait a year.
Single payer system is the end game here. Collapse the whole medical system and replace it with the gov't controlling the entire healthcare system. Let the fundamental transformation begin!!! |
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OverMyHead
Grand Poobah Joined: March-14-2008 Location: MN Status: Offline Points: 4861 |
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Obama's apology paraphrased |
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For thousands of years men have felt the irresistible urge to go to sea, and many of them died. Things got better after they invented boats.
1987 Ski Nautique |
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