Ask Me Help Desk

Ask Me Help Desk (https://www.askmehelpdesk.com/forum.php)
-   Current Events (https://www.askmehelpdesk.com/forumdisplay.php?f=486)
-   -   Unaffordable Health Care Act (https://www.askmehelpdesk.com/showthread.php?t=769112)

  • Oct 2, 2013, 10:43 AM
    tomder55
    No it won't . In NY Medicaid gets expanded . Same in Illionois .
  • Oct 2, 2013, 10:48 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    But won't this get people off Medicaid (our tax dollars at work) and make them responsible for their own health care? Isn't that want Republics especially want -- individual responsibility?

    Individual responsibility is also not having six kids if you can only support one on your income.
  • Oct 2, 2013, 10:51 AM
    Wondergirl
    And stories like this don't help your tax dollars --

    "Congressional committee releases letters stating that Marra's pharmacy in Cohoes, NY, and Total Town Nutrition Inc in Manhattan overcharged Medicaid by millions of dollars by using political connections; letters, demanding release of related documents and emails, are part of broadening corruption inquiry." Medicaid - Health - The New York Times

    Maybe get rid of the cheating and corruption, and the Medicaid won't look so bad.
  • Oct 2, 2013, 10:52 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    And stories like this don't help your tax dollars --

    "Congressional committee releases letters stating that Marra's pharmacy in Cohoes, NY, and Total Town Nutrition Inc in Manhattan overcharged Medicaid by millions of dollars by using political connections; letters, demanding release of related documents and emails, are part of broadening corruption inquiry." Medicaid - Health - The New York Times

    Maybe get rid of the cheating and corruption, and the Medicaid won't look so bad.

    Getting rid of the lower level medicare cheats as well... many of these higher level cheats do it with the help of other lower level cheats in exchange for a few bucks.
  • Oct 2, 2013, 10:53 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Individual responsibility is also not having six kids if you can only support one on your income.

    Not everyone applying has six kids or even any kids.
  • Oct 2, 2013, 10:54 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    Not everyone applying has six kids or even any kids.

    Most of them do... if they have one kid... thats one too many. '

    Look at the breeeding rates of Welfare recipients... they get paid to have more kids. Nobody with a job gets a pay raise for every kid they have.
  • Oct 2, 2013, 10:56 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Look at the breeeding rates of Welfare recipients....they get paid to have more kids. Nobody with a job gets a pay raise for every kid they have.

    Where are your stats?
  • Oct 2, 2013, 10:59 AM
    talaniman
    Quote:

    Originally Posted by smoothy View Post
    I bet if this was ever challenged under the equal protection clause....it would not stand.

    Subjecting one goup to one thing while specifically exempting another....fill in rich/poor, black/white.....etc....Polititions/peons.....

    Most exempts and grandfathering will go to groups that already have good health care plans in place that meet the minimum requirements of the law and that's most employee based insurance for bigger corporations.
  • Oct 2, 2013, 11:01 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    Where are your stats?

    Reality... every child of a welfare recipient gets an allotment... more kids=more money... its not limited to X dollars per household.
  • Oct 2, 2013, 11:02 AM
    tomder55
    Quote:

    Originally Posted by Wondergirl View Post
    And stories like this don't help your tax dollars --

    "Congressional committee releases letters stating that Marra's pharmacy in Cohoes, NY, and Total Town Nutrition Inc in Manhattan overcharged Medicaid by millions of dollars by using political connections; letters, demanding release of related documents and emails, are part of broadening corruption inquiry." Medicaid - Health - The New York Times

    Maybe get rid of the cheating and corruption, and the Medicaid won't look so bad.

    And in turn Medicaid screws doctors and hospitals and other providers with their reimbursement rates .
    In NY Medicaid pays doctors 71 percent less than insurance companies. As a result, many doctors refuse to take Medicaid patients . Still the system will be expanded under Obamacare (Obamacaid ?) .
  • Oct 2, 2013, 11:03 AM
    smoothy
    Quote:

    Originally Posted by talaniman View Post
    Most exempts and grandfathering will go to groups that already have good health care plans in place that meet the minimum requirements of the law and that's most employee based insurance for bigger corporations.

    Until the Cadillac Insurance plan tax kicks in... then see how many employers dump the good plans...

    Congress, and the rest of the Political establishment of course get to keep their Gold plated and diamond encrusted plans tax free because they exempted themselves from the legislation.
  • Oct 2, 2013, 11:05 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Reality...every child of a welfare recipient gets an allotment...more kids=more money.....its not limited to X dollars per household.

    And what percentage of people using Medicaid are in that boat?
  • Oct 2, 2013, 11:06 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    And what percentage of people using Medicaid are in that boat?

    All the Welfare people... despite the fact with all their freebies... they end up with more than many working families who have to pay for the same stuff..

    http://www.zerohedge.com/article/ent...ome-family-mak

    THis one REALLY goes into it.

    http://www.cato.org/publications/whi...-welfare-trade
  • Oct 2, 2013, 11:06 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Until the Cadillac Insurance plan tax kicks in....then see how many employers dump the good plans.....

    Congress, and the rest of the Political establishment of course get to keep their Gold plated and diamond encrusted plans tax free because they exempted themselves from the legislation.

    Do you have health insurance and figure you will lose it?
  • Oct 2, 2013, 11:07 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    All the Welfare people....despite the fact with all their reebies....they end up with more than many working families.

    How many welfare people have six kids, or even kids at all?
  • Oct 2, 2013, 11:09 AM
    tomder55
    Quote:

    From an economics point of view, Medicare’s below-market reimbursements create cost-shifting onto private payers where hospitals raise private payer fees to compensate for lower payments from government programs. In a 2006 Health Affairs study, researchers focused on this phenomenon by studying data from California private hospitals. The authors discovered a statistically significant inverse relationship between Medicare fee changes and private payer fee changes.

    The research revealed that a 1 percent decrease in average Medicare price correlated with a .17 percent increase in private payer price, and that a 1 percent decrease in the Medicaid rate was associated with a .04 percent increase. From 1997 to 2001, Medicare and Medicaid cost-shifting accounted for 12.3 percent of increases in private payer prices.

    From a clinical perspective, Medicare’s underpayments result in diminished access and compromised quality care. The most widely cited effect is the difficulty that Medicare and Medicaid patients encounter trying to find a physician. This problem is increasing. The American Academy of Family Physicians discovered 13 percent of doctors surveyed did not partake in Medicare in 2009, up significantly from 6 percent in 2004.

    According to the American Osteopathic Association, 15 percent of members don’t take Medicare and 19 percent don’t take new patients with Medicare. In New York state, approximately 1,100 physicians have stopped participating in Medicare.According to a 2009 New York Times article, at New York Presbyterian Hospital, only 37 of the 93 affiliated internists accept Medicare. Even fewer doctors are taking Medicaid, with its lower reimbursements and administrative burden.
    The New Health Law: Bad for Doctors, Awful for Patients | The Institute for HealthCare Consumerism
  • Oct 2, 2013, 11:13 AM
    speechlesstx
    My daughter is on Medicaid and SSI, she has no kids. She also has to see a clinic doctor who can't even schedule an appointment on the days the doc is in and they have 2 walk-in days. So if she can't see wait to be sick on the day of her appt or a walk-in day she still has to go to the ER. Obamacare did nothing for her and it has nothing to do with whether Texas expands Medicaid, it's the availability of providers who accept Medicaid.

    Plus, not only does our son have to buy insurance he can't afford or pay a penalty, his wife who is a permanent resident from the UK is also subject to the individual mandate. At least here she may not have to face hospitals that are hazardous to her health for a while.
  • Oct 2, 2013, 11:14 AM
    talaniman
    What hypocrites you guys are. You want the government spending cut, entitlements cut and then beeyatch because you don't get enough money from the government any more. My gosh that's what YOU wanted!
  • Oct 2, 2013, 11:17 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    Do you have health insurance and figure you will lose it?

    I have have one of those "Cadillac" Union medical policies... thats going to get me bent over a table "Deliverance style" when that tax kicks in.
  • Oct 2, 2013, 11:18 AM
    tomder55
    Quote:

    What hypocrites you guys are. You want the government spending cut, entitlements cut and then beeyatch because you don't get enough money from the government any more. My gosh that's what YOU wanted!
    what are you talking about ? Why don't you want doctors who take government plan patients to get fair compensation for their services? Do you think it's good for the patient for the doctor to get screwed ? Then the Slimes has the cahones to point out places that over charge knowing their reimbursement is going to be slashed ? It's the government program itself that breeds this type of corruption.
  • Oct 2, 2013, 11:18 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    How many welfare people have six kids, or even kids at all?

    THere are many with 10 or more kids... some by just as many different fathers.
  • Oct 2, 2013, 11:18 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    THere are many with 10 or more kids.....

    How do you know this? Where do these people live?
  • Oct 2, 2013, 11:20 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    How do you know this? Where do these people live?

    Public housing... where else.

    Ask anyone that has ever workied in the Head Start program... they will back it up. That's why so many quit.
  • Oct 2, 2013, 11:20 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Public housing...where else.

    Where?
  • Oct 2, 2013, 11:20 AM
    excon
    Hello again, Steve:
    Quote:

    Obamacare did nothing for her and it has nothing to do with whether Texas expands Medicaid,
    So, closing the government IS doing something for her? What?

    Excon
  • Oct 2, 2013, 11:22 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    Where?

    THe projects... section 8 housing vouchers... any number of places where they don't have to pay market rate for rent like anyone with a job.
  • Oct 2, 2013, 11:23 AM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    THe projects....section 8 housing vouchers....any number of places where they don't have to pay market rate for rent like anyone with a job.

    And they don''t have jobs because they are shiftless and lazy?
  • Oct 2, 2013, 11:36 AM
    speechlesstx
    Quote:

    Originally Posted by talaniman View Post
    What hypocrites you guys are. You want the government spending cut, entitlements cut and then beeyatch because you don't get enough money from the government any more. My gosh that's what YOU wanted!!

    You must be talking to someone else because I didn't ask for a penny, I'm just telling you what it's like for someone who truly needs assistance. It sucks, and you guys want us all to have what she has.
  • Oct 2, 2013, 11:40 AM
    speechlesstx
    Quote:

    Originally Posted by excon View Post
    Hello again, Steve:
    So, closing the government IS doing something for her? What?

    excon

    She gets the same crappy treatment if the government is open or not.
  • Oct 2, 2013, 11:50 AM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    And they don''t have jobs because they are shiftless and lazy?

    Most of them... yes. Particularly if their parents and grandparents were on welfare as well.

    I can understand people in very remote and rural areas not having opportunity... but it's a lame excuse for those who live in a major city.
  • Oct 2, 2013, 12:28 PM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Most of them...yes. Particularly if their parents and grandparents were on welfare as well.

    What's the excuse if their parents are well-to-do?
  • Oct 2, 2013, 12:28 PM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    What's the excuse if their parents are well-to-do?

    Lazy...
  • Oct 2, 2013, 12:31 PM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    Lazy.....

    How about disabled or mentally ill?
  • Oct 2, 2013, 12:33 PM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    How about disabled or mentally ill?

    If they are mentally ill... why are they not in an institution?

    As far as disabled... I see some seriously disabled people making it to work every morning... several in fact.. Don't know them personally... but I've seen thatm comig to work for over 10 years... barely able to operate a joystick controlled electric wheelchair. They work within a block of my office for different employers.

    If there were all that disabled why are they on welfare and not SSI Disability?
  • Oct 2, 2013, 12:37 PM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    If they are mentally ill... why are they not in an institution?

    All mentally ill should be in institutions?
    Quote:

    As far as disabled... I see some seriously disabled people making it to work every morning... several in fact.. Don't know them personally... but I've seen thatm comig to work for over 10 years... barely able to operate a joystick controlled electric wheelchair. They work within a block of my office for different employers.
    You have jobs for the ones who can't find one?
  • Oct 2, 2013, 12:40 PM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    All mentally ill should be in institutions?

    You have jobs for the ones who can't find one?

    If they have such a severe mental illness they can't hold a job or take care of themselves because it can't be sufficiently treated or controlled.. then yeah... they should.

    There are jobs out there... they have to find them... I don't employ anyone myself... I work for a large corporation. And I haven't done what would be considered an entry level position (in my specific fielt) in over 30 years... You won't even get an interview for a job like I do unless you have 10+ years doing this work someplace else. And even then it would be another 10+ years after you got it to do what I do.
  • Oct 2, 2013, 12:44 PM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    If they have such a severe mental illness they can't hold a job or take care of themselves because it can't be sufficiently treated or controlled.. then yeah... they should.

    With meds, they can manage to live at home, but can't keep a job for various reasons.
    Quote:

    There are jobs out there... they have to find them... I don't employ anyone myself... I work for a large corporation.
    They have to find them... Um, factory work was sent overseas. That would have been perfect! Corporate jobs are not available or appropriate for everyone.
  • Oct 2, 2013, 12:49 PM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    With meds, they can manage to live at home, but can't keep a job for various reasons.

    They have to find them.... Um, factory work was sent overseas. That would have been perfect! Corporate jobs are not available or appropriate for everyone.

    There are a LOT of jobs that aren't paper pusher jobs of various types, and aren't factory jobs... I don't have a desk, I've got a console that's L shaped got 20 feet of counter top... and rises 6 feet full of computer momitors, equipment and manuals. Used and shared by nobody else.

    As per that individual in question... what happens to them when the parents die that they have been living with? And that day will come at some point.
  • Oct 2, 2013, 12:56 PM
    Wondergirl
    Quote:

    Originally Posted by smoothy View Post
    There are a LOT of jobs that aren't paper pusher jobs of various types... I don't have a desk, I've got a console that's L shaped got 20 feet of counter top... and rises 6 feet full of computer momitors, equipment and manuals.

    That's why I often suggest checking out the public library, nursing homes, hospitals, and other sites that offer entry-level jobs. I have a friend who lost his low-wage job, recently totaled his truck, and now has no transportation -- and lives in the middle of nowhere.
    Quote:

    As per that individual in question... what happens to them when the parents die that they have been living with? And that day will come at some point.
    Yup. I've got an adult autistic son that I will have to start thinking about. State funding for group homes has disappeared, family members are often few and far between, so what's the parent of a disabled child to do?
  • Oct 2, 2013, 05:01 PM
    smoothy
    Quote:

    Originally Posted by Wondergirl View Post
    That's why I often suggest checking out the public library, nursing homes, hospitals, and other sites that offer entry-level jobs. I have a friend who lost his low-wage job, recently totaled his truck, and now has no transportation -- and lives in the middle of nowhere.

    Yup. I've got an adult autistic son that I will have to start thinking about. State funding for group homes has disappeared, family members are often few and far between, so what's the parent of a disabled child to do?

    I figured it was your son... but I wanted to leave it up to you if you wanted to reveal that or not.

    In many places MOST of the people living on the streets fit the mentally ill description...

    If they have family willing and able to care for them... great... but what happens if they don't... there are no institutions any more unless they are proven to be a danger, and that's usually AFTER something happens... so they end up on the streets where it does nobody any good.

  • All times are GMT -7. The time now is 06:04 PM.