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Treasured Social Butterfly
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Re: Affordable Care Act

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Message 51 of 63

@rk9152 wrote:

Might it be that "GOPertripe" is people who are required to pay for the needs of others are allowed to have their own systems that they pay for? If so - you betcha


I LOVE this GOP philosophy:

  • No health insurance because that is cost sharing. You pay your own bills
  • No auto insurance, same reason.
  • No homeowner's insurance. Your house burns, your problem. 
  • No public schools. Pay for your own kid's education
  • No municipal street repairs. Fix your own street.
  • No city garbage collection. You threw it out, you take it to the dump. 

Yep.  I can see LOTS of wins with that philosophy.  

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Valued Social Butterfly
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Re: Affordable Care Act

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Message 52 of 63

@Olderscout66 wrote:

Gail - You're playing rk's game of "political literalism". True, the GOPer replacement for ACA does not SPECIFY the loss of all those things you mentioned.

 

What it does is shift the burden of maintaining those bvenefits TO THE STATES, who are controlled by GOPers who think caring for the middle class is a commie plat and will kill them in a heartbeat.

 

That's why the CBO contradicted your rosy picture by pointing out that over 34 MILLION Americans who now have health insurance will lose that coverage under the Republican scam.

 

You are correct that the latest round of GOPertripe on health care (Trumps budget) only slashes care for the poorest citizens, who will return to using the ER instead of a personal physician, drive the costs up again, and make health care affordable ONLY for the very well off, which is what the AHCA intends.


Might it be that "GOPertripe" is people who are required to pay for the needs of others are allowed to have their own systems that they pay for? If so - you betcha

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Re: Affordable Care Act

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Message 53 of 63

jt----I was listening to NPR on the way home from taking a pet to the vet.  Because of barking, I didn't hear the state that used an "invisible fund" to help those people put in high risk pools because of pre-existing conditions. It was called "invisible" because many of the people didn't know they were getting subsidies from the state, The amount put into this fund by the state used to lower premiums for these people was 18-19 billion per year. The program worked well and only went out of existance when ACA got rid of pre-existing conditions clauses in policies. That is the amount that Trump's plan has put forth for the entire US for ten years.

How anyone can ask how people are being denied care is incredulous.  looking at the list of pre-existing conditions, I would think one would be hard put to find many people who don't fall into that category. What this administration is doing, in all its glorious stupidity, is to create a problem ( bringing backpre-esixting conditions list), and then creating more of a problem, by underfunding it.  If one can't afford insurance, good health care is hard to come by. 

Gee, I miss having a real President!!
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Re: Affordable Care Act

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Message 54 of 63

@Olderscout66 wrote:

Amazing! The GreedBrigade thinks health care should only be available to the rich..ok, so not so amazing as predictable.


Congrats scout, you got a new one "GreedBrigade". 

 

Who has tried to deny anyone health care??

 

You want programs for the poor - go for it. We have Medicaid. If it has problems, fix them. There is no need to take over the entire insurance system bought and paid for by the productive.

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Re: Affordable Care Act

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Message 55 of 63

@j872659t wrote:
It is proudly a highly respected progressive organization not socialist. By the way democratic socialism is capitalism with a conscience. For the love of money (corporate greed) is the root of all evil. Timothy 6:10

Their approach is "From each.......to each" also known as "wealth redistribution" which makes then neoMarxists.

 

If you want to quote the bible, let's remember all of it's instructions were individual - YOU must help the poor; not you must pass legislation requiring someone else to help the poor.

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Re: Affordable Care Act

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Message 56 of 63

@Olderscout66 wrote:

Gail - You're playing rk's game of "political literalism". True, the GOPer replacement for ACA does not SPECIFY the loss of all those things you mentioned.

 

What it does is shift the burden of maintaining those bvenefits TO THE STATES, who are controlled by GOPers who think caring for the middle class is a commie plat and will kill them in a heartbeat.

 

That's why the CBO contradicted your rosy picture by pointing out that over 34 MILLION Americans who now have health insurance will lose that coverage under the Republican scam.

 

You are correct that the latest round of GOPertripe on health care (Trumps budget) only slashes care for the poorest citizens, who will return to using the ER instead of a personal physician, drive the costs up again, and make health care affordable ONLY for the very well off, which is what the AHCA intends.


I was only correcting the OP's incorrect assumptions about MEDICARE.

 

But if you want to discuss MEDICAID changes, then we can do that - 

MEDICAID has always been programs for the low income seniors, disabled, children and pregnant women ran by the states and cost were shared by the Feds between 50 - 75%.

 

The ACA opened up the population covered by expanding the health care benefits to people who earn up to 138% of the Federal poverty level, if a state elected to do this, as stipulated by the SCOTUS.  The Federal Funding level of this expanded program was set at 100% for the 1st three years a state was in this particular program.  Then the Federal Funding level dropped to 95% and then to 90% and stayed at 90% for perpetuity.

 

I have been asking myself WHY this % of cost sharing by the Feds for this population.  Seems to me, it should be at the same level of match or lower since these are Abled bodied people, childless and with a higher income than those who were covered by the original idea of the program, meaning health care help for low income seniors, disabled, children and pregnant women.

 

Another thing that the Feds did for this EXPANDED Medicaid program is they removed the asset test from those qualifying for the program.  For the regular program, those low income seniors, disabled, children and pregnant women, most, maybe all, have a minimum asset test for those who are seeking eligibility to the state Medicaid program.  In the expanded program, there are some who have decided to retire early and who have structured their early retirement lives in order to live off minimal income before beginning to draw from their financial assets, even though these may be several hundred thousand dollars left to grow while taxpayers are picking up their health care under this expanded Medicaid program.

 

States are the entity which run their respective Medicaid programs, expanded or regular.  The states are the ones which enroll and pay their providers, determine the benefits.  The states are also the ones that determine the income level for each of the regular programs.  The states also determine new innovative ideas for care - like the low income senior programs of Money Follow The Person, Home and Community Based Care - each of these have to clear the Feds by granted waivers.  States know their population, they know their demographics and they know their geography and where more or less help is needed or places where cost can be modified.

 

What's wrong with a work requirement or looking for work by help from the state as a qualifier for Mediciad for those who can work?  

 

What's wrong with drug testing, including alcohol abuse, even smoking for those Abled bodied adults wanting Mediciad enrollment - it is part of health care, ya know.

 

States should have more control over the oversite of the Mediciad programs and do everything possible to provide care for those who need it at the lowest possible price tag to tax payers.   States are closer to the situation and thus should better be able to determine the best course of action as many states already try to do.

 

 

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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Message 57 of 63

Gail - You're playing rk's game of "political literalism". True, the GOPer replacement for ACA does not SPECIFY the loss of all those things you mentioned.

 

What it does is shift the burden of maintaining those bvenefits TO THE STATES, who are controlled by GOPers who think caring for the middle class is a commie plat and will kill them in a heartbeat.

 

That's why the CBO contradicted your rosy picture by pointing out that over 34 MILLION Americans who now have health insurance will lose that coverage under the Republican scam.

 

You are correct that the latest round of GOPertripe on health care (Trumps budget) only slashes care for the poorest citizens, who will return to using the ER instead of a personal physician, drive the costs up again, and make health care affordable ONLY for the very well off, which is what the AHCA intends.

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Re: Affordable Care Act

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Message 58 of 63

@j872659t wrote:

Please contact your US Representative  through this AARP link and be heard if you don’t want to lose Medicare benefits to pay for tax cuts for the wealthy.

 

Center on Budget and Policy Priorities (CBPP) Article

http://www.cbpp.org/research/federal-tax/house-health-bill-tax-cuts-for-wealthy-insurers-and-drug-co...


I read your link and there is nothing there which will affect MEDICARE benefits.

In fact the bill passed by the House, the AHCA, states that NO benefits are being cut from MEDICARE.

 

If the AHCA is passed as it was deemed by the House,

Medicare beneficiaries:

- will still be able to get those items deemed as preventive care as stipulated by the ACA.  

- The closing of the Part D donut hole will continue as deemed by the ACA

- ACA reductions to Medicare provider payments and Medicare Advantage payments are not changed

- Other ACA provisions related to Medicare are not changed, including:  Increase Medicare premiums (Parts B and D) for higher income beneficiaries (those with incomes above $85,000/individual and $170,000/couple).

- Authorize an Independent Payment Advisory Board to recommend ways to reduce Medicare spending if the rate of growth in Medicare spending exceeds a target growth rate.

- Establish various quality, payment and delivery system changes, including a new Center for Medicare and Medicaid Innovation to test, evaluate, and expand methods to control costs and promote quality of care; Medicare Shared Savings Accountable Care Organizations; and penalty programs for hospital readmissions and hospital- acquired conditions.

 

ALL of these things were established by the ACA and will continue under the AHCA as passed by the House.

 

Kaiser Family Foundation  May 2017 - The American Health Care Act - Summary of Proposal

 

Knowing the details and the correct terminology always helps.

 

Your link to the article from the CBPP is discussing the changes to MEDICAID which are covered in the AHCA as passed by the House and even there understanding the various programs under MEDICAID and how these cuts are applied is important.

 

 

 

 

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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Message 59 of 63

Amazing! The GreedBrigade thinks health care should only be available to the rich..ok, so not so amazing as predictable.

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Message 60 of 63
It is proudly a highly respected progressive organization not socialist. By the way democratic socialism is capitalism with a conscience. For the love of money (corporate greed) is the root of all evil. Timothy 6:10
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