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Old 10-09-2017, 01:30 PM
 
Location: Living rent free in your head
31,134 posts, read 13,651,906 times
Reputation: 22174

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Quote:
Originally Posted by TuborgP View Post
Aghhh that is the reality no good choices some one will lose and suffer and suffer mightily. So as I see it the immediate battle on the table appears to be Medicaid pitting the poor against the elderly in nursing homes. How do you see that playing out when Medicaid gets block granted back to the states to allocate,
I think you are guessing correctly. I think block granting medicaid will be a disaster, for two reasons. The way that they intend to save money over the long run is by increasing the grant by the CPI rather than the actual cost of health care increases which will have a compounding effect and according to some estimates that will eventually mean that the states will receive about 2/3 of what the current federal share of medicaid is.

Well run states will probably do the right thing and try to stretch the money to cover as many people as possible, but that will necessitate limiting provider payments, cutting large segments of the population off of medicaid, or limiting the kinds of services that can be received by recipients. If/when that happens I can almost guarantee you that almost all states will pass or begin enforcing filial laws and go after assets of family members to pay for the long term care of elderly parents.

But the biggest problem will be with states that currently use block granted welfare money to balance their budget. I would have to find the source again, but I posted the statistic recently that 18 states spend less than 10% of welfare block grants on direct aid to the poor, the rest of it they charge off as administrative expense or simply balance their state budget with it.

 
Old 10-09-2017, 01:41 PM
 
29,815 posts, read 34,907,142 times
Reputation: 11735
^^^^^^ In many states there is more system influence in favor of the elderly v poor. Especially poor adults.
 
Old 10-09-2017, 02:22 PM
 
2,215 posts, read 745,171 times
Reputation: 1376
Quote:
Originally Posted by TuborgP View Post
Aghhh that is the reality no good choices some one will lose and suffer and suffer mightily. So as I see it the immediate battle on the table appears to be Medicaid pitting the poor against the elderly in nursing homes. How do you see that playing out when Medicaid gets block granted back to the states to allocate,
Nearly 1/2 of the states have 50% of babies born paid for by medicaid. NM had the highest at 72%.
The medicaid money will go to the kids first and whatever is left over, if any, will go towards the elderly.

Stats from Kaiser Foundation for the year 2015.
 
Old 10-09-2017, 02:38 PM
 
29,815 posts, read 34,907,142 times
Reputation: 11735
Quote:
Originally Posted by skycaller23 View Post
Nearly 1/2 of the states have 50% of babies born paid for by medicaid. NM had the highest at 72%.
The medicaid money will go to the kids first and whatever is left over, if any, will go towards the elderly.

Stats from Kaiser Foundation for the year 2015.
I am and have been familiar with that statistic. Not at all sure that I believe that conclusion. The active citizenry and tax paying citizens of this country probably identify more with the elderly than poor moms. You know that drill. How often do you hear the elderly called mooches or nursing home queens?

We can project ourselves and our parents being in nursing homes not sure many participating adults see Medicaid delivery as a desired outcome for their daughters.

More likely is limited if any money for either group. Pay or suffer the outcomes is also a possible option.
 
Old 10-09-2017, 03:42 PM
 
3,145 posts, read 1,735,127 times
Reputation: 3520
Quote:
Originally Posted by TuborgP View Post
I am and have been familiar with that statistic. Not at all sure that I believe that conclusion. The active citizenry and tax paying citizens of this country probably identify more with the elderly than poor moms. You know that drill. How often do you hear the elderly called mooches or nursing home queens?

We can project ourselves and our parents being in nursing homes not sure many participating adults see Medicaid delivery as a desired outcome for their daughters.

More likely is limited if any money for either group. Pay or suffer the outcomes is also a possible option.
This post, and others, are not only offensive but are way off topic. Perhaps you can take this to a more appropriate forum.
 
Old 10-09-2017, 04:10 PM
 
29,815 posts, read 34,907,142 times
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Quote:
Originally Posted by cb2008 View Post
This post, and others, are not only offensive but are way off topic. Perhaps you can take this to a more appropriate forum.
I would disagree and say they are not offensive and not off topic. They are intended to be a reality check for the feel good narrative that surrounds many seniors and their way of thinking that they are immune to financial reality. This includes not just seniors but also the poor and the many amongst us dependent of government spending. It includes those of us retired with pensions and SS who could see those cut.

Never said I personally advocate these possibilities but that they are possibilities and there are those who would advocate. When I was in college during the 1960's I saw the late great Dick Gregory perform at my college. It was early in his activist stage and he did a great routine on the draft and it left the audience stunned and uncomfortable. I won't go into it here but it illustrated how folks would very willing give their kids up for the draft without question but not there tv or car.

We have serious challenges and the outcomes could be very ugly and need to be realized. Some areas of the country aren't that far from there as others.

The threat of debtor prisons is very possible and is already a real threat in Texas. Seniors in debtor prison? Bet that would get their kids to pay up.'

Group Warns Of Debtors' Prison Tactics Among Texas Payday Lenders

Early in our time in NC I read a story that stunned be and made me realize things can be very different here. When get chance to search for I will if I find share. However now dinner calls
 
Old 10-09-2017, 05:41 PM
 
29,815 posts, read 34,907,142 times
Reputation: 11735
On a note of reality about the tax proposal. There are no cost savings from health care reform and the current proposed tax framework assumes a growth rate of 4-6%s with the CBO using dynamic scoring. If we don't have that growth rate or even worse a recession in the early years the debt will blow up. So what then would be cut as was noted by another poster.

Social Security
Medicare
Medicaid
Defense

Three of the four have a tremendous impact on seniors and could result in draconian outcomes for some.
 
Old 10-09-2017, 07:53 PM
 
Location: Wisconsin
21,546 posts, read 44,085,236 times
Reputation: 15160
Quote:
Originally Posted by SportyandMisty View Post
And tax dollars paid to the Treasury by high-income earners have never been higher.
Erroneous conflation. Actual dollars aren't the issue - PERCENT of earnings IS.

Quote:
Originally Posted by SportyandMisty View Post
Every penny of corporate tax is paid for by customers in the form of higher prices, employees in the form of lower compensation, and shareholders in the form of lower profits.
Not really.

https://onedrive.live.com/?authkey=%...107315&o=OneUp
 
Old 10-10-2017, 06:27 AM
 
Location: Manhattan
21,508 posts, read 28,425,650 times
Reputation: 9763
Quote:
Originally Posted by mathjak107 View Post
just hit 65 and made it to medicare and a supplement . i was paying 6k for myself with pretty much a 4k deductible .

now i have medicare at about 1600 a year , a f-plan supplement with 2k deductible for 1116.00 a year and a drug plan for 444.00 a year with 400 deductible .

you can go with hmo advantage plans but they can be pay as you go and differ greatly in what you pay for vs premiums .

nyc is priced way higher than the rest of the country on supplements . an f-plan can run 3800.00 a year for 1 person here. we do much better with the high deductible f-plan , plus they pay for my gym directly and that was costing 480 a year .

I judged Medicare-Supplemental to be a waste of money under the theory "Never insure your deductibles, especially when even THAT coverage has a deductible.."
I opted for Medicare Advantage plan that cost $0 per month and includes free gym membership at NYSC, $0 primary doctor co-pay, $20 specialists, free glasses, free Medicare Part D and about half price dentistry.
 
Old 10-10-2017, 06:33 AM
 
7,984 posts, read 3,475,650 times
Reputation: 11238
Keep in mind that most larger corporations have loopholes wonder if they are closing them?
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