[tomder55]

No it won't . In NY Medicaid gets expanded . Same in Illionois .

[smoothy]

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.

[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.

[smoothy]

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.

[Wondergirl]

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.

[smoothy]

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.

[Wondergirl]

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?

[talaniman]

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.

[smoothy]

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.

[tomder55]

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 ?) .

[smoothy]

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.

[Wondergirl]

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?

[smoothy]

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

[Wondergirl]

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?

[Wondergirl]

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?

[tomder55]

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

[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.

[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!

[smoothy]

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.

[tomder55]

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.