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MILWAUKIE, Ore. (KOIN) — Poppy Myers and a few elves were outside her Milwaukie home Saturday selling Christmas trees in what is now an annual event.
Poppy was born with Apert Syndrome, which left most of her fingers fused together. The 3-year-old’s mother, Noelle Myers, began the Christmas tree sales a few years ago in an effort to raise about $100,000 for the surgeries needed to separate her fingers.
Poppy is on the Oregon Health Plan, which denied the coverage for out-of-network providers. She said there isn’t a surgeon in Oregon in the network that is able to perform this delicate surgery on a child who will turn 3 in February.
So yeah, out of network providers not covering specialists. This is probably a good example of how truly socialized healthcare would be better.
Apparently insurance companies have long considered Alpert's Syndrome as non life threatening and treatment as cosmetic. ACA regulations state what basic services must be covered and that insurance co's can't cap you, but doesn't dictate what other/non life threatening services must be covered.
So yeah, out of network providers not covering specialists. This is probably a good example of how truly socialized healthcare would be better.
So...couldn't donations be channeled or structured some way into "income" which would lift her out of medicaid and into 'Obamacare subsidy" territory, e.g. pooled donations are funneled to a straw employer who puts the family on payroll doing make-work (or, ideally, real work) and uses the pooled donations to issue a 'paycheck'.
I considered this medicaid/obamacare conundrum a few years ago and calculated that for many medicaid recipients it wouldn't be overly difficult to game the system to get a subsidy and better real insurance coverage, especially if they have help from others.
Apparently insurance companies have long considered Alpert's Syndrome as non life threatening and treatment as cosmetic. ACA regulations state what basic services must be covered and that insurance co's can't cap you, but doesn't dictate what other/non life threatening services must be covered.
Doesn't this condition severely restrict one's ability to support themselves through gainful activity?
The unaffordable care act didn't address the real problem with America's system...Very High Cost. So it caused more problems than it solved. At the end of the day, the Unaffordable don't care act doesn't enhance the health care of US citizens.
The unaffordable care act didn't address the real problem with America's system...Very High Cost. So it caused more problems than it solved. At the end of the day, the Unaffordable don't care act doesn't enhance the health care of US citizens.
Now if only Republicans would oh say...try and fix it by going to socialized healthcare like every other developed country that gets their healthcare by almost half the cost we do. We could have a solution. But thats not going to happen is it?
Now if only Republicans would oh say...try and fix it by going to socialized healthcare like every other developed country that gets their healthcare by almost half the cost we do. We could have a solution. But thats not going to happen is it?
Are you willing to apply the highest income tax rate (~40%) to the middle class and add a 25% VAT on top of that to pay for it? That's what those other developed countries do.
MILWAUKIE, Ore. (KOIN) — Poppy Myers and a few elves were outside her Milwaukie home Saturday selling Christmas trees in what is now an annual event.
Poppy was born with Apert Syndrome, which left most of her fingers fused together. The 3-year-old’s mother, Noelle Myers, began the Christmas tree sales a few years ago in an effort to raise about $100,000 for the surgeries needed to separate her fingers.
you're confusing Obamacare with some hypothetical single-payer system that was never seriously proposed.
Regardless of what anyone (including Obama) may have told you -- if you sit down and look at what the legislation was written to do, clearly the primary purpose of obamacare was to reform the insurance markets to give catastrophic coverage to everyone, mainly higher-risk populations.
It was never going to provide affordable care to everyone, or control costs. American politics are too dysfunctional to create legislation like that.
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