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Valued Social Butterfly
Posts: 19,753
Registered: ‎11-09-2011

Re: Urgent: Senate About to End Medicaid

Message 1 of 54 (507 Views)

More RW lies about PPACA. There was NEVER a requirement for any small business to fill our a "100-page form". The requirement would be that a firm with +100 employees would submit a form (mostly completed by the employee) for each employee wishing to participate in the program. Big difference, big GOPerlie.

 

As for the CLASS Act solving the above noted non-problem, another GOPerlie. The class act was REPEALED by GOPers in 2013 because they thought it gave too much assistance to the 99% and not enough profit to the 1%.

 

As for knowing more than the CBO, the GOPers leave out inflation, which is the ONLY increase in an otherwise static baseline, meaning the CBO estimate that the GOPer plan will cut Medicaid by $88Billion PER YEAR FOR TEN YEARS (mostly because of the increase in the Medicaid eligible population and g4ross understatement of increasing medical costs) is totally accurate

Valued Social Butterfly
Posts: 4,368
Registered: ‎09-21-2015

Re: Urgent: Senate About to End Medicaid

Message 2 of 54 (509 Views)

Thanks, CT. The following link has an excellent explanation of why Medicaid would no longer be an entitlement, for those who are still in denial. Basically, the federal government would no longer have an open-ended commitment to pay for approximately half the states' Medicaid costs.

 

States can opt for either a per person cap or a block grant. Either way, they'll face big cuts to federal Medicaid money. If the state opts for a block grant ..."States could charge enrollees more for their care and they could cap enrollment, which could mean even those who are eligible may not be able to join the program."

 

I suspect many states will simply cap enrollment; those states that don't will have increasing difficulty meeting their commitments based on eligibility requirements.

 

https://lawstreetmedia.com/issues/health-science/ahca-changes-medicaid/

Trusted Social Butterfly
Posts: 11,262
Registered: ‎07-04-2009

Urgent: Senate About to End Medicaid

[ Edited ]
Message 3 of 54 (529 Views)

Thank you Cat for your fact filled, logical analysis of the proposed Republican Health Care bill.

 

By the way, did you notice that Trump reversed his positon on the bill, calling it mean. After spending so much time defending the bill Trump no longer likes,I wonder what our Trump Lovers will do next? I can't wait to see how they respond.

Valued Social Butterfly
Posts: 4,368
Registered: ‎09-21-2015

Re: Urgent: Senate About to End Medicaid

Message 4 of 54 (553 Views)

Dennis makes a series of mistakes in his post.

 

1) Nobody said that $880 billion would be cut from Medicaid in one year, so that's a straw man argument. However, the CBO projected that the House version of Trumpcare would cut $880 billion from Medicaid over ten years. Apparently his argument is that the CBO is filled with Chicken Littles.

 

2) When analysts say that Trumpcare will turn Medicaid into a block grant program, they mean that the federal government will no longer pay a percentage (usually around 57 percent) of all Medicaid bills. Instead the federal goverment will institute a per capita cap on its contribution. This change fundamentally alters the way Medicaid works. It means that if the cost of treatment rises faster than the per capita caps, the states will be on their own. No state currently has this arrangement with the federal government.

 

3) Dennis forgets that medical costs always rise over time, so his argument that Trumpcare doesn't cut Medicaid spending assumes that there is no inflation. He's arguing with the CBO, who is probably better at projecting costs.

 

4) Dennis says that these cuts are simply "prudent financial management." He fails to mention that a) the bill includes over $300 billion in tax cuts to the wealthy, with even bigger cuts expected in Bush's fall tax cut plan and b) millions of Medicaid patients will lose coverage if federal funding is reduced by one-quarter. So we're not going to be saving anything, and people will be forced to rely on the ER again.

 

5) Dennis claims that the GOP is simply "trying to get the ACA right." Wrong. Trumpcare is a repeal of the ACA.

 

Dennis, I don't mind if you address me directly.

 

Valued Social Butterfly
Posts: 4,494
Registered: ‎10-25-2011

Re: Urgent: Senate About to End Medicaid

Message 5 of 54 (560 Views)

byrondennis wrote:

The original author of this thread (chrono comment 1) has made at least a half dozen errors concerning the ACHA bill that passed from the House to the Senate last month. They appear in the first and subsequent comments.  As the author correctly points out, no one knows what is in the Sentate response so the title of the Topic and this whole stream of comments is nonsense.

 

The biggest error in this litany is that there is a proposal to "cut" (or slash if you prefer) $880 billion from Medicaid over the next 10 years. Actually the Chicken Littles never even explain the timeframe; they want you to think the money applies to only one year. The current proposal and budget baseline calls for an increase in Medicaid spending over the next 10 years. What the nonsense folks call a cut is what must people call prudent financial management (a slower increase in spending than the historically-totally-incompetent-at-forecasting CBO has published).

 

The second biggest error is all the nonsense about block grants. Medicaid today and since its inception 52 years ago has been a Federal/State program. Becasue of waivers from the law passed 52 years ago requested by most states over time, most of the states already take their Medicaid money in some kind of block.

 

The third biggest error is a description of how a per-capita fee would apply to we seniors (or those of us on Medicaid). Not only is there an inflation factor linked to the CPI for healthcare but there is a special kicker for seniors. Not surpringly, the Chicken Littles always leave that senior-kicker fact out of their screaming nuttiness. Some people would call that lying.

 

And to repeat, no one knows what is in the Sentate response to the House bill that I am describing in the three paragraphs above so the title of the Topic and this whole stream of comments is nonsense. To compare the process accurately to how the Patient Protection and Affordable Care Act was passed, it happened exactly the same way (but perhaps with roles reversed): the Senate in March 2010 passed a bill that was totally different than a House bill that had been passed on Christmas Eve 2009. A few days later the House voted by one or two votes to spare and without hearings (or even time for anyone to read it according to Pelosi) on the Senate bill that no one had seen in final form (with every Republican and about 34 Democrats voting No). Shortly after that both the House and Senate revised the new bill to correct some of its errors (adding more lard to the Federal budget having nothing to do with healthcare insurance). That first fix was just the first of about 5 times the Democrats had to correct PPACA as they kept trying over and over again under Obama (until 2015) to get it right.

 

Examples of trying to get PPACA right have included deleting the CLASS Act, deleting the need for small businesses to fill out 100 page forms, and so forth. In addition, Obama had to make many more changes to PPACA with a pen and a phone call (to the HHS secretary) once the Republicans won back the House in January 2011 such as spending money that was not appropriated, changing the individual and/or emplyer mandate (waiving fines/taxes), and trying to fix the collosal computer programming problems with the web site. But as current skyrocketing health insurance premiums and lack of competition prove, all the Democrats' bandaid fixes failed.

 

Now -- maybe -- we'll get it right. But we don't know until we see the bill that all these comments are about even though no one has seen it


@cat2015

So byrondennis, Speaking of being "chicken" as you brought up, why didn't you reply directly to the topic's author, cat2015?

Recognized Social Butterfly
Posts: 884
Registered: ‎01-02-2012

Re: Urgent: Senate About to End Medicaid

[ Edited ]
Message 6 of 54 (584 Views)

The original author of this thread (chrono comment 1) has made at least a half dozen errors concerning the ACHA bill that passed from the House to the Senate last month. They appear in the first and subsequent comments.  As the author correctly points out, no one knows what is in the Sentate response so the title of the Topic and this whole stream of comments is nonsense.

 

The biggest error in this litany is that there is a proposal to "cut" (or slash if you prefer) $880 billion from Medicaid over the next 10 years. Actually the Chicken Littles never even explain the timeframe; they want you to think the money applies to only one year. The current proposal and budget baseline calls for an increase in Medicaid spending over the next 10 years. What the nonsense folks call a cut is what must people call prudent financial management (a slower increase in spending than the historically-totally-incompetent-at-forecasting CBO has published).

 

The second biggest error is all the nonsense about block grants. Medicaid today and since its inception 52 years ago has been a Federal/State program. Becasue of waivers from the law passed 52 years ago requested by most states over time, most of the states already take their Medicaid money in some kind of block.

 

The third biggest error is a description of how a per-capita fee would apply to we seniors (or those of us on Medicaid). Not only is there an inflation factor linked to the CPI for healthcare but there is a special kicker for seniors. Not surpringly, the Chicken Littles always leave that senior-kicker fact out of their screaming nuttiness. Some people would call that lying.

 

And to repeat, no one knows what is in the Sentate response to the House bill that I am describing in the three paragraphs above so the title of the Topic and this whole stream of comments is nonsense. To compare the process accurately to how the Patient Protection and Affordable Care Act was passed, it happened exactly the same way (but perhaps with roles reversed): the Senate in March 2010 passed a bill that was totally different than a House bill that had been passed on Christmas Eve 2009. A few days later the House voted by one or two votes to spare and without hearings (or even time for anyone to read it according to Pelosi) on the Senate bill that no one had seen in final form (with every Republican and about 34 Democrats voting No). Shortly after that both the House and Senate revised the new bill to correct some of its errors (adding more lard to the Federal budget having nothing to do with healthcare insurance). That first fix was just the first of about 5 times the Democrats had to correct PPACA as they kept trying over and over again under Obama (until 2015) to get it right.

 

Examples of trying to get PPACA right have included deleting the CLASS Act, deleting the need for small businesses to fill out 100 page forms, and so forth. In addition, Obama had to make many more changes to PPACA with a pen and a phone call (to the HHS secretary) once the Republicans won back the House in January 2011 such as spending money that was not appropriated, changing the individual and/or emplyer mandate (waiving fines/taxes), and trying to fix the collosal computer programming problems with the web site. But as current skyrocketing health insurance premiums and lack of competition prove, all the Democrats' bandaid fixes failed.

 

Now -- maybe -- we'll get it right. But we don't know until we see the bill that all these comments are about even though no one has seen it

Valued Social Butterfly
Posts: 4,494
Registered: ‎10-25-2011

Re: Urgent: Senate About to End Medicaid

Message 7 of 54 (590 Views)

KidBoy2 wrote:
Medicaid funding and tax cuts for the wealthy are two different issues.

----------------------------------------------------------------------------------------


myexper posted...
Not when Medicaid funding cuts are used to fund tax cuts for the wealthy KidBoy2.

==========================================================
The wealth do not need tax cuts even though they do pay a good share of our Federal Income Taxes...cut you know that..right?
 Due to the enormous tax cuts given to the wealthy over the last several decades, especially the Bush tax cuts, many wealthy also pay a lower overall tax rate than most middle class Americans ..... You know that ... right?
And if the wealthy do not need more money from more tax cuts, as you admit, then why give them more money while taking away Medicaid from the poor?


Sorry, but they are two different issues.

Taking away healthcare from people to fund tax cuts for the wealthy certainly suggests otherwise.

 

Valued Social Butterfly
Posts: 4,494
Registered: ‎10-25-2011

Re: Urgent: Senate About to End Medicaid

Message 8 of 54 (595 Views)

KidBoy2 wrote:
myexper posted...

Yeah, the nursing homes and hospitals will lay their former Medicaid eligible patients in the area between the sidewalk and the street. After they die, a stake truck will pick up the bodies just like in a third world country, assuming Trumpcare at least covers that pick up.

======================================================

That is not true
Nope, quite true KidBoy2. So what do you think that nursing homes and hospitals would do to people who have had their Medicaid taken away by Republicans?  
and I think you were trying to be funny
No ... I was being REAL!
....it is not funny.
Indeed ..... the loss of Medicaid for millions of Americans will result in their deaths. So why do you support Republicans who want to do this?

 

Valued Social Butterfly
Posts: 3,980
Registered: ‎01-24-2014

Re: Urgent: Senate About to End Medicaid

Message 9 of 54 (607 Views)

CT--Hard to think some don't see this impending threat. Non-credible news sources and lyin' donnie are leaving some totally unaware of the threat that is being posed, and others, who watch credible news sources and understand the reality of all of this, are left scrambling to fight for their own well-being. 

The scenario of "fake news" that trump has instilled in the minds of the easily fooled, hurts us all and is exceedingly dangerous for all who live in this country.

Gee, I miss having a real President!!
Valued Social Butterfly
Posts: 19,511
Registered: ‎11-07-2009

Re: Urgent: Senate About to End Medicaid

Message 10 of 54 (622 Views)

cat2015 wrote:

Thanks, Chasky. Many on the right seem in denial. They don't realize how much Medicaid would change.

 

Nerdmom said it best on another thread--states may eventually turn down new applicants for things like long-term care, which is the largest Medicaid expense. People will be put on waiting lists. Meanwhile, I hope everyone has long-term care insurance or a family that can support them.

 

 


They simply cannot admit that anything Trump or the Republicans do is bad because it would be admitting that they made a mistake putting trump into office.


"The only thing man learns from history is man learns nothing from history"