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    paraclete's Avatar
    paraclete Posts: 2,706, Reputation: 173
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    #1121

    Nov 6, 2013, 09:22 PM
    Quote Originally Posted by speechlesstx View Post
    What do you have against the truth? You just keep making sh*t up to make us look mean, enough already. I mean for cryin' out loud I have a disabled daughter battling HIV and cancer living in my home on SSI, a paltry 60 or 70 a month in food stamps and Medicaid that no one takes. We have 2 good hospitals, 2 or 3 cancer centers and there is 1 doctor she can see that reluctantly accepts Medicaid for her cancer care.

    Don't preach to me about not caring about the plight of others, I live it every freakin' day! When are you going to get that through your thick skull?
    So the system not workin' for you then, I thought Obamacare was supposed to take care of that. We find a single payer system does stop some of those doctors avoiding their responsibilies but when it comes down to specialists, they talk money and you need an insurer to negotiate with them
    speechlesstx's Avatar
    speechlesstx Posts: 1,111, Reputation: 284
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    #1122

    Nov 7, 2013, 05:53 AM
    Quote Originally Posted by paraclete View Post
    So the system not workin' for you then, I thought Obamacare was supposed to take care of that. We find a single payer system does stop some of those doctors avoiding their responsibilies but when it comes down to specialists, they talk money and you need an insurer to negotiate with them
    If expanding the rolls of the Medicaid system that my daughter has to navigate and pushing us all toward that is a solution then we're screwed.
    excon's Avatar
    excon Posts: 21,482, Reputation: 2992
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    #1123

    Nov 7, 2013, 06:44 AM
    Hello again, Steve:

    The other day you were saying that bad insurance is pretty good. and people should be able to KEEP it if they wanted..

    Now that you KNOW someone with bad insurance, you're singing a different tune.

    excon
    speechlesstx's Avatar
    speechlesstx Posts: 1,111, Reputation: 284
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    #1124

    Nov 7, 2013, 07:26 AM
    Quote Originally Posted by excon View Post
    Hello again, Steve:

    The other day you were saying that bad insurance is pretty good. and people should be able to KEEP it if they wanted..

    Now that you KNOW someone with bad insurance, you're singing a different tune.

    excon
    I never, ever said the government run insurance was good, it's you guys trying to blow smoke by saying the new more expensive in every way bad private insurance is better. The point was stop feeding me this crap about not caring about the plight of others, I know it, I live it, I can tell you firsthand about both the private care you're screwing up and the public care that sucks already and you want to expand. You guys really do think we're stupid don't you? Ask yet another Obama supporter that doesn't understand why they can't keep their old, BETTER insurance.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1125

    Nov 7, 2013, 07:29 AM
    $550 a month for their health coverage ? Must be one of them bare bones plans that didn't cover abortion pills .
    speechlesstx's Avatar
    speechlesstx Posts: 1,111, Reputation: 284
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    #1126

    Nov 7, 2013, 07:49 AM
    Quote Originally Posted by tomder55 View Post
    $550 a month for their health coverage ? Must be one of them bare bones plans that didn't cover abortion pills .
    Or the $4.00 contraceptives Sandra Fluke couldn't find at Target down the street.
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1127

    Nov 7, 2013, 08:08 AM
    Why Health Insurance Cancellations Shouldn't Be a Surprise - ProPublica

    Q. Is Medicaid a success story here?

    A. Medicaid enrollment data from the states with their own exchanges certainly suggests a surge in Medicaid. It's still early but it appears that the surge is a combination of ACA Medicaid expansion and the woodwork effect – bringing in individuals already eligible but not enrolled. Medicaid rolls will also increase somewhat as individual commercial polices are cancelled, high-risk pools end, and some small and mid-size employers drop coverage.

    Today, Medicaid covers about 74 million Americans. Given all the unknowns, including economic conditions, projected Medicaid enrollment by 2020 ranges from 85 million to 102 million. Regardless, the role of Medicaid in the marketplace and impact of Medicaid on federal and state budgets will only grow.
    The Affordable Care Act's Most Important Date: Not What You Think - ProPublica

    What most people remember about the high court's decision is that it upheld the core of the law: an individual mandate that requires practically everyone to buy health insurance or pay a penalty.

    But the most consequential part of the ruling, which got less attention at the time, gave states discretion over whether to expand their Medicaid programs for the poor.

    The law originally called for each state to expand Medicaid to people making less than 138 percent of the federal poverty level (now $15,856 for a household of one or $32,499 for a household of four). But the court said states could refuse to go along and not risk losing the federal government's contribution to their Medicaid programs.

    Why is this so important? Because about half the states have refused the expansion (or haven't approved it yet), putting Medicaid out of reach for millions of their residents. Those states include Texas, Florida and almost all of the south. Here's a map of what each state is doing.
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    speechlesstx Posts: 1,111, Reputation: 284
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    #1128

    Nov 7, 2013, 08:13 AM
    Like I said, if they can't get a doctor who accepts Medicaid what's the use? I know, those greedy doctors expect to get paid.
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1129

    Nov 7, 2013, 08:13 AM
    Quote Originally Posted by speechlesstx View Post
    Or the $4.00 contraceptives Sandra Fluke couldn't find at Target down the street.
    Yeah we went over that and found out you need a doctor who writes a prescription, and have to have insurance to cover both. Contraceptives are not sold over the counter like aspirin.

    Nor is it used strictly for birth control. But you know all that.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1130

    Nov 7, 2013, 08:29 AM
    Nah ,it's most important date will be when employer mandates goes into effect. Then the sh*t will really hit the fan. If the death spiral doesn't happen by then ,it will.
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1131

    Nov 7, 2013, 08:31 AM
    Quote Originally Posted by speechlesstx View Post
    Like I said, if they can't get a doctor who accepts Medicaid what's the use? I know, those greedy doctors expect to get paid.
    Then the death panel will have to decide the patient's fate .
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1132

    Nov 7, 2013, 09:00 AM
    Quote Originally Posted by tomder55 View Post
    Then the death panel will have to decide the patient's fate .
    That is a problem, and its not just Medicaid. Finding a doctor or clinic that takes whatever your insurance is has been a HUGE challenge to many of us even with employer based insurance or private insurance. Every freakin' county in Texas does things differently, at least the four I have been to, even in the big cities. Even with a computer.

    I have found that even with great insurance the final word is with the doctor or hospital you want to deal with, even though they have an option to JOIN whatever network you are part of, most don't. It's worse with specialists, much worse. Ask me how I know.

    Even Medicare requires TWO insurance companies, if you don't want to be burdened with those out of pocket expenses which will kick your old a$$. Good luck finding a doctor, its expensive and labor intensive I already know. I think we are all finding out what the TRUE cost of health care is, the hard way, and its more than just paying a monthly note.

    Personally I hate insurance companies too, and doctors are not that far behind.
    smoothy's Avatar
    smoothy Posts: 25,490, Reputation: 2853
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    #1133

    Nov 7, 2013, 09:29 AM
    Tal don't ever let that one slip in your Dr's office or you might find yourself getting far more prostate exams than are medically necessary.
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1134

    Nov 7, 2013, 09:55 AM
    We have had that conversation, as have all the other doctors I have been to. Been to court numerous times questioning bills and charges. You only stick your finger up my a$$ once a year that I pay for and anything beyond that you better make an offer I can't refuse.

    No doctor has taken me up on that yet!
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1135

    Nov 7, 2013, 10:38 AM
    Quote Originally Posted by talaniman View Post
    That is a problem, and its not just Medicaid. Finding a doctor or clinic that takes whatever your insurance is has been a HUGE challenge to many of us even with employer based insurance or private insurance. Every freakin' county in Texas does things differently, at least the four I have been to, even in the big cities. Even with a computer.

    I have found that even with great insurance the final word is with the doctor or hospital you want to deal with, even though they have an option to JOIN whatever network you are part of, most don't. It's worse with specialists, much worse. Ask me how I know.

    Even Medicare requires TWO insurance companies, if you don't want to be burdened with those out of pocket expenses which will kick your old a$$. Good luck finding a doctor, its expensive and labor intensive I already know. I think we are all finding out what the TRUE cost of health care is, the hard way, and its more than just paying a monthly note.

    Personally I hate insurance companies too, and doctors are not that far behind.
    When the whole system comes crashing down ,the choice will be bail out the insurance companies or single payer socialist system... Guess you'll be able to hang that 'Mission Accomplished ' banner then.
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1136

    Nov 7, 2013, 02:01 PM
    I am willing to bet there are a lot of people that the system has crashed on and sticker shock is nothing new, nor the worst case scenerio, and indeed we are a LONG way from a better fix.

    Doing nothing though? Not a good option. And for fact we already run socialists programs quite well in America. SS, Medicare are very popular. Even the TParty loves them.
    paraclete's Avatar
    paraclete Posts: 2,706, Reputation: 173
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    #1137

    Nov 7, 2013, 02:18 PM
    Quote Originally Posted by talaniman View Post
    I am willing to bet there are a lot of people that the system has crashed on and sticker shock is nothing new, nor the worst case scenerio, and indeed we are a LONG way from a better fix.

    Doing nothing though? Not a good option. And for fact we already run socialists programs quite well in America. SS, Medicare are very popular. Even the TParty loves them.
    You can thank you Republican buddies for the system you do have, their ideological objections to cleaning the system up mean you only have a system that is good for the doctors and the insurance companies and it seems the attempt to fix it has produced a camel. You need to think of socialist solutions as common sense. If the trains don't run on time you make them, if you need medical care, medical care is provided, if you need education, education is provided, if you need a job, piant rock white
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1138

    Nov 7, 2013, 04:56 PM
    Our solutions are well known . "Doing Nothing " was never one of them .
    talaniman's Avatar
    talaniman Posts: 54,325, Reputation: 10855
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    #1139

    Nov 7, 2013, 05:55 PM
    Heritage foundation supported it right down to the mandates before they were against it, and truth be told NOTHING had been done about it for decades while the problem got worse. Now after taking what republicans had supported and actually done in MASS. Current republicans have been delay, repeal, and defund, and obstruct everything.

    Even in Kentucky where its becoming an example of how it works the two Kentucky senators are still squawking foul. Despite the website glitches the squawkers are still republican governors who have done NOTHING, except make the problem BIGGER.

    Start over is not an option, and the people have spoken on the republican alternatives by Ryan and the rest. How long were we supposed to wait for YOU guys to do something? Get off the sidelines and help fix it.

    Governor Nikki Haley on Health Care: Part Two | FreedomWorks

    Patricia Finley
    The following information was already announced in January. Nikki Haley and Tony Keck are just repeating what has already happened. Beginning next year, Medicaid-designated rural hospitals in South Carolina will be fully compensated through the Medicaid Disproportionate Share Hospital (DSH) program for their uncompensated care costs. In this news release it says the following - The DSH program is a taxpayer-supported $461 million Medicaid fund used to compensate hospitals in South Carolina for the unreimbursed costs of providing inpatient and outpatient hospital services to the uninsured and Medicaid eligible individuals. I guess in a around about way the DSH program IS a taxpayer supported program - It is a federally funded program. Apparently Nikki Haley is accepting more federal funds than she wants anyone to know about. In news releases she is conveniently leaving out the fact that many programs that she claims to be funding - is being funded with federal dollars.
    Sort of like decrying the stimulus and taking a picture with a big fat check and saying "see what I did".
    tomder55's Avatar
    tomder55 Posts: 1,742, Reputation: 346
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    #1140

    Nov 7, 2013, 08:57 PM
    I can't speak to what the Heritage Foundation supported ,and they don't speak for me. I'm a 'more choice' type of person when it comes to the market place ,and health care is in the market place . The choice should not be restricted by state lines or mandates . So ,the McCarran-Ferguson Act should be amended to allow interstate competition in health insurance.You like sticking it to the insurance companies.. right ?What better way than take away their anti-trust exemptions.

    The choice should also be in types of treatment options ,including alternative.The choice would include keeping your insurance if you like it when you change jobs or move from state to state .

    Medicare and Medicaid need reform first... including cracking down on fraud and abuse ,and then we can talk about expansion for those who truly can't afford any other alternative ,or fall through the cracks because of preexisting conditions... although I believe that fewer would fall through the cracks if they were allowed to cater their coverage for their preexisting conditions instead of for BS they don't need ,but are mandated to buy coverage for , like fertility drugs or abortion pills, or aromatherapy and massage treatment . But just to cover those truly in need ,a high risk pool could be subsidized ,or tax credit to help low income individuals buy health insurance .

    Tort reform is part of the solution. That would include reasonable financial damages for breaches of clear and identifiable standards and other transgressions.

    Ok ,I will address Heritage .Their thought was to mandate catastrophic care . Further their plan was tax incentives to purchase insurance... not mandates to buy or face a penalty . But even then ,Heritage was an outlier. It is hardly true to say conservatives supported it then. It's more accurate to say SOME conservatives did .

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