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Re: States Should Determine Who They Incarcerate Carefully

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Message 1 of 15

@GailL1 wrote:

@john258 wrote:

@GailL1 wrote:  For those who get their HepC curative treatment at a cost to the taxpayers while incarcerated should maybe stay awhile longer - then nobody could complain that inmate work was slave labor - consider it a trade for services.

------------------------------------------------------------------------------------------------------------If everyone in the US had health care coverage under what would be a national medicare health program that would pay a large part of the costs. Each State has Medical Services for people in Prison. The provider of the service would bill national medicare just as providers now bill medicare for people over 65. The price tag would be lower than now as Medicare for all would be the cheapest part of health care. The cost of total health care would go down. You are once again trying to go down a path on a tiny part of the health care system, and when you do that you show that you have no understanding on health care. Your last part looks like it was taken directly from the GA. Slave owners manual of the 1800.

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

 

In this case, taxpayers, at least those who pay taxes, are already footing the bill - so what difference does it make who gets the bill and pays it.

 

Why would it be cheaper under a Medicare for All ?  Just changing from where the money for payment originates does not make it cheaper.  The only thing that would make it cheaper is controlling health care cost in some way.  

 

This is is a high health care cost group because they come into prison sick.  A life of crime isn't one that lends itself to a healthy lifestyle.  Then as they age in prison,  longstanding illnesses worsen.  

 

Think you better check out the current movement on inmates working - groups against this are liking it to slave labor.  Personally, I see it more like exchanging  work for their care and upkeep in prison as long as it is a job that would have to be paid for by the taxpayers anyway.



 


Because the total cost of health care would go down by savings in the system. One item would be the loss ratio in covered people. Medi Care is priced for about a 95% while Insurance Carriers are at about 70%. That moves the carriers to what Medi Care is priced for. Savings. Better care due to being able to get medical help, and follow up medical help where a lot of people do not now. Drug Prices will be controlled better and their can be big savings there. You need experts to work this area and there are experts who can do this for the good of the people.  This group get health care at high cots because for the most part they are in ER Care. That ends and it will cost less with this group. People with a life of crime get medical help now at high cost . Them working has no part in this discussion as once again it seems like something directly from the GA slave owners manual in 1800. You do not understand Health Care and how to use it.

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Re: States Should Determine Who They Incarcerate Carefully

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Message 2 of 15

@ManicProgressive wrote:

Yes and we enroll Pretrial inmates in Obamacare. 

But it takes coordination among several departments and private entities to proactively reach and enroll this population.  


Why - seems like they are a "captive" audience.  Woman Wink

What is their reason for NOT doing it ?  Why does it take so much effort?

Is it not important to them?

 

They can even sign up for Medicaid prior to their release - so it is ready and waiting when they get out.  But still some don't do it.

 

Famous last words - " I just go to the Emergency Room if I need medical care"!

 

They just can't use Medicaid or Obamacare or any other coverage while incarcerated.

 

Getting some of them to assign a priority to health care coverage in their current situation is asking them to take some responsibility - doesn't work so well if they have problems keeping up with their insurance card or plan details or they aren't in one place for too long which affects their coverage - Medicaid or Obamacare.

 

" Thy are your brother's keeper" - sometimes very literally.  Do this, do that, this is good for you, that's not good for you, this is your responsibility, "what, who me?"

It has always been my experience that when a person is ready - they take the 1st step - otherwise, we are just wasting our time.  Unless you want to make a lot more people wards of the state and have everything done for them.  There are those that can't, but then there are those that won't - I know which I Want to help.

 

 

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: States Should Determine Who They Incarcerate Carefully

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Message 3 of 15

@GailL1 wrote:

@ManicProgressive wrote:

We shouldn't put 90% of the people in jail that we do.  We are such a backwards country in that respect.   Some states are implementing their own Criminal Justice Reinvestment Act policies, which keep people out in the community instead of in jail, and use the significant savings to provide things like mental health care, substance abuse treatment, etc.  It could be expanded to provide general health care as well. 

 

http://www.ncsl.org/research/civil-and-criminal-justice/justice-reinvestment-maryland.aspx


The way things are right now - If they aren't actually incarcerated, meaning IN Jail, - they can get healthcare insurance or coverage just like anybody else be that Medicaid, if they qualify, or EHC or an Exchange policy.

 

 


Yes and we enroll Pretrial inmates in Obamacare. 

 

But it takes coordination among several departments and private entities to proactively reach and enroll this population.  

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Re: States Should Determine Who They Incarcerate Carefully

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Message 4 of 15

@john258 wrote:

@GailL1 wrote:  For those who get their HepC curative treatment at a cost to the taxpayers while incarcerated should maybe stay awhile longer - then nobody could complain that inmate work was slave labor - consider it a trade for services.

------------------------------------------------------------------------------------------------------------If everyone in the US had health care coverage under what would be a national medicare health program that would pay a large part of the costs. Each State has Medical Services for people in Prison. The provider of the service would bill national medicare just as providers now bill medicare for people over 65. The price tag would be lower than now as Medicare for all would be the cheapest part of health care. The cost of total health care would go down. You are once again trying to go down a path on a tiny part of the health care system, and when you do that you show that you have no understanding on health care. Your last part looks like it was taken directly from the GA. Slave owners manual of the 1800.

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

 

In this case, taxpayers, at least those who pay taxes, are already footing the bill - so what difference does it make who gets the bill and pays it.

 

Why would it be cheaper under a Medicare for All ?  Just changing from where the money for payment originates does not make it cheaper.  The only thing that would make it cheaper is controlling health care cost in some way.  

 

This is is a high health care cost group because they come into prison sick.  A life of crime isn't one that lends itself to a healthy lifestyle.  Then as they age in prison,  longstanding illnesses worsen.  

 

Think you better check out the current movement on inmates working - groups against this are liking it to slave labor.  Personally, I see it more like exchanging  work for their care and upkeep in prison as long as it is a job that would have to be paid for by the taxpayers anyway.



 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: States Should Determine Who They Incarcerate Carefully

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Message 5 of 15

@ManicProgressive wrote:

We shouldn't put 90% of the people in jail that we do.  We are such a backwards country in that respect.   Some states are implementing their own Criminal Justice Reinvestment Act policies, which keep people out in the community instead of in jail, and use the significant savings to provide things like mental health care, substance abuse treatment, etc.  It could be expanded to provide general health care as well. 

 

http://www.ncsl.org/research/civil-and-criminal-justice/justice-reinvestment-maryland.aspx


The way things are right now - If they aren't actually incarcerated, meaning IN Jail, - they can get healthcare insurance or coverage just like anybody else be that Medicaid, if they qualify, or EHC or an Exchange policy.

 

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: States Should Determine Who They Incarcerate Carefully

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Message 6 of 15

We shouldn't put 90% of the people in jail that we do.  We are such a backwards country in that respect.   Some states are implementing their own Criminal Justice Reinvestment Act policies, which keep people out in the community instead of in jail, and use the significant savings to provide things like mental health care, substance abuse treatment, etc.  It could be expanded to provide general health care as well. 

 

http://www.ncsl.org/research/civil-and-criminal-justice/justice-reinvestment-maryland.aspx

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Re: States Should Determine Who They Incarcerate Carefully

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Message 7 of 15

@GailL1 wrote:

@ChasKy53 wrote:

A nationwide enhanced 'Medicare-For-All' plan would solve this problem and many others for all states. Right Gail?


Would it?

 

That would have to be a very enhanced plan - The price tag just got a whole lot higher - According to my link below -

States and local jurisdictions pay for health care services for inmates. For any state prison system, it is one of the biggest and fastest growing budget items.

 

A July 2014 analysis by the Pew Charitable Trusts (Pew funds Stateline) found that states spent about $7.7 billion on prison health care in 2011, or about one-fifth of overall prison expenditures. Between 2007 and 2011, states' median growth rate in health spending per inmate was 10 percent.

 

The periodic numbers which HHS puts out about how much health care cost, including Medicare, Medicaid, CHIP, Employer Coverage, Indian Health Care, ACA individual marketplace, etc. - everything except the VA Health Program - has NO accounting of a states prison health care cost which a state, city or federal government allot for health care of the incarcerated.

 

This cost must come out of the state's overall prison / jail funds and not the state's healthcare cost and thus has not been added into the scope of some Federal inclusive plan.

 

Some states charge the inmates at least a portion - 

PEW Chartiable Trust: 05/22/2015 - No Escaping Medical Copayments, even in prison.

 

For those who get their HepC curative treatment at a cost to the taxpayers while incarcerated should maybe stay awhile longer - then nobody could complain that inmate work was slave labor - consider it a trade for services.

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

If everyone in the US had health care coverage under what would be a national medicare health program that would pay a large part of the costs. Each State has Medical Services for people in Prison. The provider of the service would bill national medicare just as providers now bill medicare for people over 65. The price tag would be lower than now as Medicare for all would be the cheapest part of health care. The cost of total health care would go down. You are once again trying to go down a path on a tiny part of the health care system, and when you do that you show that you have no understanding on health care. Your last part looks like it was taken directly from the GA. Slave owners manual of the 1800.


 

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Re: States Should Determine Who They Incarcerate Carefully

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Message 8 of 15

@ChasKy53 wrote:

A nationwide enhanced 'Medicare-For-All' plan would solve this problem and many others for all states. Right Gail?


Would it?

 

That would have to be a very enhanced plan - The price tag just got a whole lot higher - According to my link below -

States and local jurisdictions pay for health care services for inmates. For any state prison system, it is one of the biggest and fastest growing budget items.

 

A July 2014 analysis by the Pew Charitable Trusts (Pew funds Stateline) found that states spent about $7.7 billion on prison health care in 2011, or about one-fifth of overall prison expenditures. Between 2007 and 2011, states' median growth rate in health spending per inmate was 10 percent.

 

The periodic numbers which HHS puts out about how much health care cost, including Medicare, Medicaid, CHIP, Employer Coverage, Indian Health Care, ACA individual marketplace, etc. - everything except the VA Health Program - has NO accounting of a states prison health care cost which a state, city or federal government allot for health care of the incarcerated.

 

This cost must come out of the state's overall prison / jail funds and not the state's healthcare cost and thus has not been added into the scope of some Federal inclusive plan.

 

Some states charge the inmates at least a portion - 

PEW Chartiable Trust: 05/22/2015 - No Escaping Medical Copayments, even in prison.

 

For those who get their HepC curative treatment at a cost to the taxpayers while incarcerated should maybe stay awhile longer - then nobody could complain that inmate work was slave labor - consider it a trade for services.

 

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Re: States Should Determine Who They Incarcerate Carefully

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Message 9 of 15


@ChasKy53 wrote:

A nationwide enhanced 'Medicare-For-All' plan would solve this problem and many others for all states. Right Gail?


Allowing states to individually administer all of those medical issues creates a nationwide patchwork of inconsistency that increases the numbers of needless deaths as well as being an obvious waste of tax money due to each state needlessly duplicating each other's researarch, administrative, and medical staffing levels...

 

Wouldn't that be that an exercise of morphing individual state's rights into an example of financially wasteful individual state's stupidity?

 

Oh - right - all the states already do that from sea to shining sea, don't they?

 

So what's the solution to that wasteful practice?

 

Shouldn't that require replacing  all the dysfunctional "dead wood" and dishonesty at the top with honest, truthful, and competent people whose mandate is the the ultimate good of the largest number of Americans?

 

 

He is useless on top of the ground - he should be under it - inspiring the cabbages... Mark Twain 1894 - APPLIES TO TRUMP TODAY
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Re: States Should Determine Who They Incarcerate Carefully

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Message 10 of 15

A nationwide enhanced 'Medicare-For-All' plan would solve this problem and many others for all states. Right Gail?


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