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Valued Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 41 of 85

CriticalThinking wrote:

William said, "I have thought for many years about why shouldn’t elected officials receive the same healthcare and benefits that they are willing to vote on and require for the citizens of the US?"

 

That's true today, Members of Congress and their staffs must use the Affordable Care Act Exchanges for their federal health insurance.


That's no big deal - they still get the same 72% government premium subsidy for it as other government employees on the FEHB program.  

 

Congressmand their selected personal staff should play by the same rules that everybody else does in the ACA.  Meaning, they should get NO premium subsidy if they earn over 400% of the FPL.

 

So what we have ended up with here is a Congressional faux ACA plan just for them.

 

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Trusted Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 42 of 85

William said, "I have thought for many years about why shouldn’t elected officials receive the same healthcare and benefits that they are willing to vote on and require for the citizens of the US?"

 

That's true today, Members of Congress and their staffs must use the Affordable Care Act Exchanges for their federal health insurance.

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Valued Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 43 of 85

erikm219989 wrote:

john258 wrote:

GailL1 wrote:

Well keep trying to keep them out of the ER even if they have Medicaid, extended Medicaid.  There is a doctor shortage specifically because Medicaid has grown by leaps and bounds and there are not enough primary care doctors who accept Medicaid to take care of the demand - which is also way, way up.

 

So they can't get a doctor or their wait is long to see a doc, so what do they do - Go To The ER for every little thing

 

Mercury News 06/21/2017 - Emergency Room Visits by Medi-Cal patients SOARING, state data shows

 

Expecting physicians to see and treat these patients for pennies on the dollar never works.


Well what is your plan to solve the problem?


It could be the vote out all the Republicans so that the Medicaid system can get fixed instead of taxes being cut for the 1% or the Super Rich.


That might work. Get rid of the Republicans, create a one Party system with a strong central government and a powerful leader and you may see the neoMarxist dream of medicare for all, wealth redistribution - all that good stuff.

 

By the way - what is and has been the Dems plan to fix Medicaid except pump more money into it?

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Valued Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 44 of 85

erikm219989 wrote:

john258 wrote:

GailL1 wrote:

Well keep trying to keep them out of the ER even if they have Medicaid, extended Medicaid.  There is a doctor shortage specifically because Medicaid has grown by leaps and bounds and there are not enough primary care doctors who accept Medicaid to take care of the demand - which is also way, way up.

 

So they can't get a doctor or their wait is long to see a doc, so what do they do - Go To The ER for every little thing

 

Mercury News 06/21/2017 - Emergency Room Visits by Medi-Cal patients SOARING, state data shows

 

Expecting physicians to see and treat these patients for pennies on the dollar never works.


Well what is your plan to solve the problem?


It could be the vote out all the Republicans so that the Medicaid system can get fixed instead of taxes being cut for the 1% or the Super Rich.

 

The fix has to be at the state level.  States do their own Medicaid rate setting, they are the ones that sign up the doctors into the Medicaid program.

 

The Federal government can increase or decrease the amount which they pay as a percentage in special circumstances like waivers or at certain periodic times. This was done in the 1st few years of Obamacare - the Feds increase the % rate they paid for Medicaid providers in order to increase the number of them but this only lasted for a few years since the Feds thought that when this federal increase ended, states would pick up the slack.  Some states did, mine did - but some states didn't, so Medicaid providers did not renew their commitment.

 

Actually, we have a whole lot fewer primary care physicians in this country than elsewhere in the world, industrialized nations.  Other healthcare systems rely heavily on primary care physicians but here med students seem to prefer specialties rather than primary care.

 

On a related note - the number of specialist which participate in the Medicaid program is even slimmer in availability.

 

So, this Medicaid primary physician shortage problem begins at the state level but we do need to develop some incentives to encourage more med students to go into primary care along with PA's and NP's to work along side of them.

 

Years ago there was a legislative proposal which said that if a physician accepted MEDICARE, then they would have to accept MEDICAID.  Medicaid rates are lower than Medicare rates.  What do you think this might do - help Medicaid?  Harm Medicare?  Cause even more financial problems in some states?

 

Working on the overall cost of healthcare would help everybody.  

We can even take some of these cost controls from other countries.

 

 

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Gold Conversationalist

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 45 of 85

john258 wrote:

GailL1 wrote:

Well keep trying to keep them out of the ER even if they have Medicaid, extended Medicaid.  There is a doctor shortage specifically because Medicaid has grown by leaps and bounds and there are not enough primary care doctors who accept Medicaid to take care of the demand - which is also way, way up.

 

So they can't get a doctor or their wait is long to see a doc, so what do they do - Go To The ER for every little thing

 

Mercury News 06/21/2017 - Emergency Room Visits by Medi-Cal patients SOARING, state data shows

 

Expecting physicians to see and treat these patients for pennies on the dollar never works.


Well what is your plan to solve the problem?


It could be the vote out all the Republicans so that the Medicaid system can get fixed instead of taxes being cut for the 1% or the Super Rich.

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Valued Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 46 of 85

williamb39198 wrote:

@mandm84

I have thought for many years about why shouldn’t elected officials receive the same healthcare and benefits that they are willing to vote on and require for the citizens of the US? How many organizations are there that the employees have better healthcare and benefits than the owners or employers? Bet that we would not be having some of the discussions

that we are having. And would probably have a healthier populace. 

Gosh, what a wonderful thought. 

 

We we went to the moon. We can solve healthcare. 


Actually, Senator Grassley did get an amendment passed stating that members of Congress and their direct staff would be required to buy their insurance via the ACA individual marketplace.  They do this if they choose Federal Employee Health Benefits.

 

However, here is the problem -'the Obama Admin. determined that they would still get the same government cost match for this coverage as other federal employees - about 72%.

 

This was not what Grassley was thinking with the amendment - he wanted the amount of their income to determine whether or not they got a premium subsidy just like the general public who have ACA exchange plans.

 

 

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Gold Conversationalist

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

136 Views
Message 47 of 85

@mandm84

I have thought for many years about why shouldn’t elected officials receive the same healthcare and benefits that they are willing to vote on and require for the citizens of the US? How many organizations are there that the employees have better healthcare and benefits than the owners or employers? Bet that we would not be having some of the discussions

that we are having. And would probably have a healthier populace. 

Gosh, what a wonderful thought. 

 

We we went to the moon. We can solve healthcare. 

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Valued Social Butterfly

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 48 of 85

GailL1 wrote:

Well keep trying to keep them out of the ER even if they have Medicaid, extended Medicaid.  There is a doctor shortage specifically because Medicaid has grown by leaps and bounds and there are not enough primary care doctors who accept Medicaid to take care of the demand - which is also way, way up.

 

So they can't get a doctor or their wait is long to see a doc, so what do they do - Go To The ER for every little thing

 

Mercury News 06/21/2017 - Emergency Room Visits by Medi-Cal patients SOARING, state data shows

 

Expecting physicians to see and treat these patients for pennies on the dollar never works.


Well what is your plan to solve the problem?

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Gold Conversationalist

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

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Message 49 of 85
This post was in reply to @rk9152 from earlier today.
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Gold Conversationalist

Re: GOP CUTS TO MEDICARE & SOCIAL SECURITY

149 Views
Message 50 of 85

If tearing up the internal portions of our government is reducing government, that's not the route that 

I want us to take. trump and gang are not trying to improve anything, just destroy it...that's the act of 5 year children, not adults. They seem to be devoid of good solutions, or caring about others.

Reducing taxes!!...for himself. trump is a reverse robin hood, a king if you will. Dictators (past and current) and kings in our past take from the poor and working class, then keep it and share some with their royal court and their family. Seems pretty apparent to me, I have no desire to look at our world with rose colored glasses.

I do agree about using common sense. Comes in handy for me!

 

 

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