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Re: Medicaid Retroaction being rolled back in some states

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Message 11 of 27

Neither Gail's nor byrondennis' response dealt candidly with the 'concept' I proposed.  A true single payer system nullifies the necessity for any and all non-rational complexity in the health care system. You simply will not need it.  Wrap your brain around the concept to start with and you may 'begin' to understand the ramifications.

 

Accept the concept as a goal and you will be able to devise the best possible system to accomplish that goal. The most important thing then is the extent of 'basic' health care and the most efficient way possible to provide it. Don't and you can't. It's that simple.

 

Unless and until you are willing to consign those who 'can't pay the freight' to the furnaces, someone will pay for ALL that, no matter what system is devised, single payer or not. That someone being the tax-payer. You can take advantage of a 'public insurance company', a co-op of sorts to spread the cost over the entire population or you can argue about who gets the shaft this time.  It ALL has to be paid for.  I singled out the 'for profit health care system' as a culprit driving up the cost, because that's exactly what it does.  

 

Don't accept that concept and you will forever mire yourself in pointless discussions about meaningless things that serve something other than the public interest.  Keep in mind that the immediate costs for failure of the health care system will not be fully known until generations from now.  Of course, that could be the very reason to indulge in this futile exercise.   

 

As has been said, IF no guaranteed health care system now exists,the social system picks up the tab for those who cannot pay....somehow.  Correct me if I'm wrong, but I think it's the tax-payer that funds that whole shebang and all it implies. That being the case, again correct me if I'm wrong, the cost for all the consequences that happen when that  system fails to function at utmost efficiency ends up on the tax-payers' tab too.

 

Complexity is the refuge of the disingenous demagogue spinning tales from behind a curtain of smoke.  Concept is everthing you need to know.  Agree on that, accept it and the rest can be accomplished....cooperation toward that end being the main requisite, you see.  Not money.

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Re: Medicaid Retroaction being rolled back in some states

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Message 12 of 27

@GailL1 wrote:

@ChasKy53 wrote:

@GailL1 wrote:

 

 

What is so hard about asking people to sign up for whatever coverage they are eligible?  Including the poor.

 


What was so hard about asking all states to expand Medicaid and to set up a health care insurance exchange as per the ACA to make it easier for people to get that insurance and/or Medicaid?


Every state does have an exchange - state only, federally facilitated or one that is a shared responsibility.

 

People who go to their exchange who have income limits within the various states income eligibility are directed to their state's Medicaid enrollment.

 

The states that are changing this retroactive coverage are ALL expansion states - Iowa, Indiana, New Hampshire, Arkansas 

 


The point (that you miss) is that if all states had expanded Medicaid and all states had started a state exchange, the ACA would have been much more successful, even more would have gotten insured. That's exactly why so many RED states refused to open state exchanges and expand Medicaid, they wanted the ACA (Obamacare) to fail.


"The only thing man learns from history is man learns nothing from history"
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Re: Medicaid Retroaction being rolled back in some states

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Message 13 of 27

@john258 wrote:

@GailL1 wrote:

@Olderscout66

 

You are WAY off topic - 

Medicaid is coverage of the MOST affordable type.  If eligible for Medicaid all they have to do is sign up for it and in a few states pay a very low co-pay for some services - 

 

Is it not important to them?

Do they think they might need to be covered?

Do they think they might be forced to buy, even greatly subsidized coverage?

What is their problem?

 

Why should we pay retroactively for their health cost when they haven't even bothered to sign up when they were eligible for Medicaid all along.

 

Please try to stay on topic -


We are already paying for their health care costs. Why is that so hard for you to understand? There is the ER care for all. Just go to the ER and you will be treated at no cost. Now there are Reb. like your old governor who would let them die in the Streets if he could, but he can not. Lets have medicare for all approach and the cost of total health care will go down as the ER care area will be reduced. You need to stop looking for articles that do not cover the entire system and placing them in here as fact. They are not. I see there are Hospitals (non profit) expanding using Sate an local funds. Who provides that money. State and local taxes. Our local hospital just went to solar power farm using local bond funds. Who bears the cost of bonds. Local taxes, and yes the locals approved that when they set up the bond fund. Learn the full system and be a real expert.


What you said about the health care costs is a valid point. ER room is medical care route for many without health care. Then, the costs fall back to the local government to pick up. With ACA, many are covered who previously went the ER route, or no medical care route.

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Re: Medicaid Retroaction being rolled back in some states

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Message 14 of 27

@GailL1 wrote:

@Olderscout66

 

You are WAY off topic - 

Medicaid is coverage of the MOST affordable type.  If eligible for Medicaid all they have to do is sign up for it and in a few states pay a very low co-pay for some services - 

 

Is it not important to them?

Do they think they might need to be covered?

Do they think they might be forced to buy, even greatly subsidized coverage?

What is their problem?

 

Why should we pay retroactively for their health cost when they haven't even bothered to sign up when they were eligible for Medicaid all along.

 

Please try to stay on topic -


We are already paying for their health care costs. Why is that so hard for you to understand? There is the ER care for all. Just go to the ER and you will be treated at no cost. Now there are Reb. like your old governor who would let them die in the Streets if he could, but he can not. Lets have medicare for all approach and the cost of total health care will go down as the ER care area will be reduced. You need to stop looking for articles that do not cover the entire system and placing them in here as fact. They are not. I see there are Hospitals (non profit) expanding using Sate an local funds. Who provides that money. State and local taxes. Our local hospital just went to solar power farm using local bond funds. Who bears the cost of bonds. Local taxes, and yes the locals approved that when they set up the bond fund. Learn the full system and be a real expert.

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Re: Medicaid Retroaction being rolled back in some states

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Message 15 of 27

@Olderscout66

 

You are WAY off topic - 

Medicaid is coverage of the MOST affordable type.  If eligible for Medicaid all they have to do is sign up for it and in a few states pay a very low co-pay for some services - 

 

Is it not important to them?

Do they think they might need to be covered?

Do they think they might be forced to buy, even greatly subsidized coverage?

What is their problem?

 

Why should we pay retroactively for their health cost when they haven't even bothered to sign up when they were eligible for Medicaid all along.

 

Please try to stay on topic -

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: Medicaid Retroaction being rolled back in some states

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Message 16 of 27

@afisher wrote:

1.   Republicans want to assure that many don't have affordable health insurance, PERIOD.    That elimanates the idea and all it's associated false starts  that some are attempting to sell.

2.    In one State that really hates people having affordable HealthCare, they also hate people having access to healthcare via Medicaid...so they demand that people continually QUALIFY for Medicaid- because the family may make a dime too much in a month, which would disqualify them from being elgible.  (that is Texas).   


What coverage would be as affordable as Medicaid, even with some states having some very low copays for services.

 

Medicaid is 1st and foremost qualified coverage by income and that income can change from year to year or even during a year.

 

Anybody who is getting an ACA exchange plan that gets a tax credit from the government is suppose to report a change in income so that the amount of the tax credit subsidy can be adjusted accordingly.

 

Any change in income in an upwards direction is suppose to be also reported by those within the Medicaid program - well, unless you win the lottery and that is just counted for one month as income.  Congress is trying to change that condition.

 

We go by MAGI for coverage eligibility in the ACA and Medicaid - in all areas, that dollar over the eligibility limit affects the benefit - ACA tax credit subsidy or Medicaid eligibility.

 

People who have a rise in their income - may or may not have to pay back their ACA tax credit subsidy depending upon their increased income.  I know a guy right now who is gonna have to pay back a pretty big amount of tax credit subsidies.  Since we are at the end of the year, he is frantically trying to sell some investments to create a loss big enough to cover this pay back.

 

Be thankful that we don't make Medicaid beneficiaries pay something back if they get higher income.  All we ask is that they report it and then evaluate it periodically.  Remember in the expansion program we aren't talking about anybody that has a disability or is elderly - we are talking about abled-bodied individuals that can have little income one day and hit the jackpot the next day.

College students, perhaps older than 26, would be a good example of this.

 

We seem to be getting way off topic - why should we have to pay for someone's previous medical bills if they don't bother to sign up?  We certainly don't do this for individuals outside of Medicaid coverage.

 

They should sign up BEFORE they need medical help as should everybody.

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: Medicaid Retroaction being rolled back in some states

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Message 17 of 27

@ChasKy53 wrote:

@GailL1 wrote:

 

 

What is so hard about asking people to sign up for whatever coverage they are eligible?  Including the poor.

 


What was so hard about asking all states to expand Medicaid and to set up a health care insurance exchange as per the ACA to make it easier for people to get that insurance and/or Medicaid?


Every state does have an exchange - state only, federally facilitated or one that is a shared responsibility.

 

People who go to their exchange who have income limits within the various states income eligibility are directed to their state's Medicaid enrollment.

 

The states that are changing this retroactive coverage are ALL expansion states - Iowa, Indiana, New Hampshire, Arkansas 

 

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: Medicaid Retroaction being rolled back in some states

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Message 18 of 27

@GailL1 wrote:

 

 

What is so hard about asking people to sign up for whatever coverage they are eligible?  Including the poor.

 


What was so hard about asking all states to expand Medicaid and to set up a health care insurance exchange as per the ACA to make it easier for people to get that insurance and/or Medicaid?


"The only thing man learns from history is man learns nothing from history"
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Re: Medicaid Retroaction being rolled back in some states

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Message 19 of 27

1.   Republicans want to assure that many don't have affordable health insurance, PERIOD.    That elimanates the idea and all it's associated false starts  that some are attempting to sell.

2.    In one State that really hates people having affordable HealthCare, they also hate people having access to healthcare via Medicaid...so they demand that people continually QUALIFY for Medicaid- because the family may make a dime too much in a month, which would disqualify them from being elgible.  (that is Texas).   

PRO-LIFE is Affordable Healthcare for ALL .
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Re: Medicaid Retroaction being rolled back in some states

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Message 20 of 27

Republicans are out to cut taxes for the very rich and make the 99% totally dependant on their employer for healthcare by eliminating the individual mandate.

 

The simple fact is that if EVERYONE had to have insurance EVERYONE could afford it. that's the bottom line explaining why Universal health care coverage WORKS in every industrialized Nation and Americans remain the only group that can lose everything because you or your kid gets sick.

 

As for WHY Americans pay $8,233/person or nearly twice as much for the 37th best system as the second highest cost Nations (Norway, 11th best, Netherlands #17 and Switzerland #20) and the average cost of the industrialized Nations is only $3,265 could be our absurd notions about living forever regardless of the cost.

 

HALF of all Americans' medical costs occure in the last year of life, and half of that happens in the final 30 days. IMHO, we can do more to make health care affordable by making Hospice a "best practice" standard instead of open heart surgery for  octagenarians and replace Senior Specials at Golden Coral with Senior Speicals at the Y and other exercise facilities. (altho perhaps we could have the Y distribute the Golden Coral discount tickets.....I do LOVE the buffets)

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